Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN WALLACE, LCSW, QCSW
Active Sole ProprietorDYLAN WALLACE, LCSW, QCSW is a Clinical Social Worker healthcare provider located in PLYMOUTH, Massachusetts. NPI 1982269155 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PLYMOUTH, MA
Registration Details
- NPI Number
- 1982269155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2019 (7.3063885602328 yrs)
- Last Updated
- Dec 30, 2024
- Licenses
-
SW15210 (FL)LCSW-22060 (AZ)LICSW126861 (MA)LW61224850 (WA)11338410-3501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34 MAIN STREET EXT STE 104PLYMOUTH, MA, 023603375Browse MA providers · Browse ZIP 02360
- Phone
- 8016555450
- Fax
- 3852259327
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in PLYMOUTH, MA
| Name | Credential | NPI |
|---|---|---|
| MS. ELLEN M. BARRESI | MSW, LICSW | 1508844705 |
| MS. KAREN E TRAIS | LICSW | 1881665578 |
| MS. DIANNE SENTER LOCKWOOD | LICSW | 1114986189 |
| MRS. MARY LOU SHEWCHUK | LICSW | 1942251103 |
| MRS. KRISTIN HALLETT | LICSW | 1184675753 |
| MRS. MARCIA S. BAUM | LICSW | 1346264231 |
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.