Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY WALLACE, LSW
ActiveHOLLY WALLACE, LSW is a Social Worker healthcare provider located in NORMAL, Illinois. NPI 1356167563 is currently active in the NPPES registry. Verify at CMS.
Social Worker · NORMAL, IL
Registration Details
- NPI Number
- 1356167563
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2024 (1.6708906372595 yrs)
- Last Updated
- Dec 3, 2024
- License
-
150.114983 (IL)
Practice Information
- Address
-
1302 FRANKLIN AVE STE L500NORMAL, IL, 617613551Browse IL providers · Browse ZIP 61761
- Phone
- 3094518888
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| MS. ERIN EVERLY | LCSW | 1073938841 |
| MRS. EMILY WATSON | — | 1609640390 |
| HEIDI SIMPSON | — | 1215765599 |
| NICOLE NOTTKE | — | 1245027424 |
| SARAH FRASER HICKMAN | — | 1831089424 |
| GRACEAANNE MARISSA DODD | — | 1841173283 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.