Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE D WALLACE, MSW
Active Sole ProprietorClinical Social Worker · AMHERST, MA
Registration Details
- NPI Number
- 1497743504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2005 (20.523521791362 yrs)
- Last Updated
- Jul 23, 2013
- License
-
1016638 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
447 WEST STSUITE #3AMHERST, MA, 010022933Browse MA providers · Browse ZIP 01002
- Phone
- 4132532893
- Fax
- 4132532893
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in AMHERST, MA
| Name | Credential | NPI |
|---|---|---|
| MS. JAN MARIE DUMOND | — | 1326039694 |
| MS. KATHLEEN J DEZENZO | LICSW | 1952385395 |
| MS. SANDRA L. GESUELLE-HART | LICSW | 1639138985 |
| JONATHAN G. GOLDIN | LISCW | 1487696597 |
| AMY RUTH WINTERS CHAMPOUX | MSW | 1588698351 |
| MS. NANCY KIRSCHNER SACHS | MSW | 1598784860 |
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.