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MS. MYKALA R WALLACE LMSW
NPI 1083297774
Social Worker in Fayetteville, AR

Active since April 30, 2021
885 W CLYDESDALE DR, FAYETTEVILLE, AR 72701(479) 444-1670(479) 445-6903 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mykala R Wallace Lmsw NPPES

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

MS. MYKALA R WALLACE LMSW (NPI 1083297774) is an individual social worker in Fayetteville, Arkansas, licensed in Arkansas (10102-M) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1083297774
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. MYKALA R WALLACECredential: LMSW
Location Address885 W CLYDESDALE DRFayetteville, AR 72701-8209
Mailing Address885 W Clydesdale DrFayetteville, AR 72701-8209 · (479) 444-1670 · Fax (479) 445-6903
Phone(479) 444-1670
Fax(479) 445-6903
Sole ProprietorNo
Enumeration DateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1083297774 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 AR · 10102-M
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.
885 W CLYDESDALE DR, Fayetteville, AR 72701
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Other Providers at the Same Location NPPES

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

SHELLEY DIANE CLINGAN BSW, MSW, LCSW
Social Worker (Clinical)
885 W CLYDESDALE DR
FAYETTEVILLE, AR 72701
Washington County (479) 444-1670

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 Mykala Wallace's NPI number?

The NPI number for Mykala Wallace is 1083297774. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Mykala Wallace located?

Mykala Wallace practices at 885 W Clydesdale Dr, Fayetteville, AR 72701. The listed phone number is (479) 444-1670.

What is Mykala 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 Mykala Wallace was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.