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MR. KEVIN R WALLACE
NPI 1033619614
Case Manager/Care Coordinator in Canfield, OH

Active since February 20, 2018
3620 STUTZ DR, CANFIELD, OH 44406(330) 286-3173 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin R Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN R WALLACE (NPI 1033619614) is an individual case manager/care coordinator provider in Canfield, Ohio and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1033619614
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. KEVIN R WALLACE
Location Address3620 STUTZ DRCanfield, OH 44406-9176
Mailing Address3620 Stutz DrCanfield, OH 44406-9176 · (330) 286-3173
Phone(330) 286-3173
Sole ProprietorYes
Enumeration DateFebruary 20, 2018
✔ NPI 1033619614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3620 STUTZ DR, Canfield, OH 44406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERI FETTY LSW
Social Worker
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (330) 286-3173
RONALD HAINES JR.
Counselor
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (234) 313-4795
TAMARA LYNNE PIERSON
Case Manager/Care Coordinator
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (330) 286-3173
ANGINETTE JAMES
Social Worker
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (330) 797-0070
JENNIFER SALA LONGSTRETH
Social Worker
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (330) 286-3123
SIRITHIA WILLIAMS BSW LSW
Social Worker
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (330) 286-3173
TAWANA J WARREN
Social Worker
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (330) 302-3445
TAYLOR NICOLE PIPOLY
Case Manager/Care Coordinator
3620 STUTZ DR
CANFIELD, OH 44406
Mahoning County (330) 286-3173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1033619614. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Kevin Wallace located?

Kevin Wallace practices at 3620 Stutz Dr, Canfield, OH 44406. The listed phone number is (330) 286-3173.

What is Kevin Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kevin Wallace was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.