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JENNIFER WALLACE-JOHNSON
NPI 1073221727
Social Worker - Clinical in East Longmeadow, MA

Active since November 11, 2022
264 N MAIN ST, EAST LONGMEADOW, MA 01028(860) 461-7792 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Wallace-johnson NPPES

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

JENNIFER WALLACE-JOHNSON (NPI 1073221727) is an individual clinical provider in East Longmeadow, Massachusetts, licensed in Massachusetts (228416) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1073221727
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER WALLACE-JOHNSON
Location Address264 N MAIN STEast Longmeadow, MA 01028-1815
Mailing Address264 N Main StEast Longmeadow, MA 01028-1815 · (860) 461-7792
Phone(860) 461-7792
Sole ProprietorNo
Enumeration DateNovember 11, 2022
NPPES CertifiedNovember 11, 2022
✔ NPI 1073221727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 228416
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
264 N MAIN ST, East Longmeadow, MA 01028
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Other Providers at the Same Location NPPES 11

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

DR. ANTHONY L. SARAGE D.P.M.
Podiatrist (Foot & Ankle Surgery)
264 N MAIN ST, SUITE 11
E LONGMEADOW, MA 01028
Hampden County (413) 525-4373
RAYMOND D.MANNIELLO,D.D.S.,P.C.
Dentist (General Practice)
264 N MAIN ST, SUITE 4
EAST LONGMEADOW, MA 01028
Hampden County (413) 525-0861
CARE GROUP ASSOCIATES INC
Home Health
264 N MAIN ST, SUITE 8
EAST LONGMEADOW, MA 01028
Hampden County (888) 830-2927
SCHOOL NEUROPSYCHOLOGY ASSOCIATES, LLC
Counselor (School)
264 N MAIN ST, SUITE 15
E LONGMEADOW, MA 01028
Hampden County (413) 218-8159
CHABILAL NEERGHEEN MD
Internal Medicine
264 N MAIN ST
EAST LONGMEADOW, MA 01028
Hampden County (413) 525-4157
DR. FRANK A. TOSCANINI D.C.
Chiropractor
264 N MAIN ST
EAST LONGMEADOW, MA 01028
Hampden County (413) 525-7685
BAO CHAU VAN
Social Worker
264 N MAIN ST, STE 10
EAST LONGMEADOW, MA 01028
Hampden County (413) 827-8959
EVAN P CWASS D.P.M.
Podiatrist (Foot Surgery)
264 N MAIN ST, SUITE #11
EAST LONGMEADOW, MA 01028
Hampden County (413) 525-4373

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 Jennifer Wallace-johnson's NPI number?

The NPI number for Jennifer Wallace-johnson is 1073221727. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Jennifer Wallace-johnson located?

Jennifer Wallace-johnson practices at 264 N Main St, East Longmeadow, MA 01028. The listed phone number is (860) 461-7792.

What is Jennifer Wallace-johnson'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 Jennifer Wallace-johnson was last updated on November 11, 2022. 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.