MR. JOHN JASON WALLACE LCSW
NPI 1063652097
Social Worker - Clinical in Wilkes Barre, PA
About Mr. John Jason Wallace Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN JASON WALLACE LCSW (NPI 1063652097) is an individual clinical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (CW015384) and active in the NPI registry since March 2009.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Wallace's NPI number?
The NPI number for John Wallace is 1063652097. It was assigned to this individual provider in the NPPES registry on March 4, 2009.
Where is John Wallace located?
John Wallace practices at 1111 E End Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 824-3521.
What is John Wallace's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for John Wallace was last updated on March 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.