Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL N WALLACE LCSW PLLC
Active OrganizationJILL N WALLACE LCSW PLLC is a Social Worker organization located in EAST NORTHPORT, New York. NPI 1356760037 is currently active in the NPPES registry. Verify at CMS.
Social Worker · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1356760037
- Provider Type
- Organization
- NPI Issued
- Apr 10, 2014 (12.351125455758 yrs)
- Last Updated
- Jul 19, 2024
- License
-
R045832 (NY)
Practice Information
- Address
-
15 HEATH LNEAST NORTHPORT, NY, 117311912Browse NY providers · Browse ZIP 11731
- Phone
- 5164590312
- Primary Specialty
-
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.