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

MS. JILL NATALIE WALLACE, LCSW

Active Sole Proprietor

MS. JILL NATALIE WALLACE, LCSW is a Social Worker healthcare provider located in EAST NORTHPORT, New York. NPI 1902985724 is currently active in the NPPES registry. Verify at CMS.

Social Worker · EAST NORTHPORT, NY

Registration Details

NPI Number
1902985724
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2006 (19.782885799164 yrs)
Last Updated
Jul 19, 2024
Sole Proprietor
Yes

Practice Information

Address
15 HEATH LN
EAST NORTHPORT, NY, 117311912
Browse NY providers · Browse ZIP 11731
Phone
5164590312
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in EAST NORTHPORT, NY

Name Credential NPI
MS. PHYLLIS VEDDER LCSW 1659420826
MS. TERESA SIMEONE LCSW 1053526913
MRS. NICOLE VIDIRI SILVA L.M.S.W. 1750619979
MRS. JUDY NAN COOPER LCSW 1922308667
BETH SHARON DIAMOND LMSW 1689952103
MEREDITH OLSTER LCSW 1619240496
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.