Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANISE WALLACE, LCSW
Active Sole ProprietorJANISE WALLACE, LCSW is a Clinical Social Worker healthcare provider located in LUDOWICI, Georgia. NPI 1396348603 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LUDOWICI, GA
Registration Details
- NPI Number
- 1396348603
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2020 (5.5564042413929 yrs)
- Last Updated
- Nov 18, 2020
- License
-
CSW007370 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
83 HOFFER LN SELUDOWICI, GA, 31316Browse GA providers · Browse ZIP 31316
- Phone
- 2542389473
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LUDOWICI, GA
| Name | Credential | NPI |
|---|---|---|
| ANNE MARIE MENDEZ | — | 1093124349 |
| CONSUELA MARIA HENRY | LCSW | 1821579806 |
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.