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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. AUNDERIA DENISE WALLACE

Active Sole Proprietor

MRS. AUNDERIA DENISE WALLACE is a Clinical Social Worker healthcare provider located in BELLWOOD, Illinois. NPI 1578183364 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BELLWOOD, IL

Registration Details

NPI Number
1578183364
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2020 (6.1352408929797 yrs)
Last Updated
Jan 2, 2026
License
149.026896 (IL)
Sole Proprietor
Yes

Practice Information

Address
535 49TH AVE
BELLWOOD, IL, 601041733
Browse IL providers · Browse ZIP 60104
Phone
7082674044
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BELLWOOD, IL

Name Credential NPI
ANGELA NICOLE BROOM L.C.S.W. 1376814038
KENNETH JAMES LEGGIN 1841064250
MARIBEL CAGUANA LCSW 1386488633
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.