Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEIDI ALLISON WILKEN WALLACE, LCSW
Active Sole ProprietorHEIDI ALLISON WILKEN WALLACE, LCSW is a Clinical Social Worker healthcare provider located in WALNUT, Illinois. NPI 1528107471 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WALNUT, IL
Registration Details
- NPI Number
- 1528107471
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2007 (19.490857365589 yrs)
- Last Updated
- Nov 19, 2012
- Licenses
-
149012947 (IL)HW49060306P (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27566 1375 EAST STWALNUT, IL, 613769528Browse IL providers · Browse ZIP 61376
- Phone
- 8153837277
- Fax
- 8153792184
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Developmental Therapist
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.