KEVIN WALLACE LMSW
NPI 1073207049
Social Worker in Teaneck, NJ

Q: What is Kevin Wallace's NPI number?

The NPI number for Kevin Wallace is 1073207049. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Q: What is Kevin Wallace's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Wallace was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2023

799 JOHN ST, TEANECK, NJ 07666(917) 327-7162 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Wallace Lmsw NPPES

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

KEVIN WALLACE LMSW (NPI 1073207049) is an individual social worker in Teaneck, New Jersey, licensed in New York (095669) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1073207049

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameKEVIN WALLACECredential: LMSW

Location Address799 JOHN STTeaneck, NJ 07666-5333

Mailing Address799 John StTeaneck, NJ 07666-5333

Phone(917) 327-7162

Sole ProprietorNo

Enumeration DateJune 5, 2023

NPPES CertifiedJune 5, 2023

✔ NPI 1073207049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 095669

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

799 JOHN ST, Teaneck, NJ 07666

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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 1073207049. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Kevin Wallace located?

Kevin Wallace practices at 799 John St, Teaneck, NJ 07666. The listed phone number is (917) 327-7162.

What is Kevin Wallace's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kevin Wallace was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.