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MS. KRISTEN SHAE WALLACE
NPI 1104263896
Social Worker in Forest Hills, NY

Active since June 04, 2013
7261 113TH ST APT 2R, FOREST HILLS, NY 11375(718) 679-3595 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kristen Shae Wallace NPPES

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

MS. KRISTEN SHAE WALLACE (NPI 1104263896) is an individual social worker in Forest Hills, New York, licensed in New York (091021) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1104263896
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. KRISTEN SHAE WALLACE
Location Address7261 113TH ST APT 2RForest Hills, NY 11375-5601
Mailing Address7261 113th St Apt 2rForest Hills, NY 11375-5601 · (718) 679-3595
Phone(718) 679-3595
Sole ProprietorYes
Enumeration DateJune 4, 2013
Last NPPES UpdateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1104263896 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 · 091021
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.
7261 113TH ST APT 2R, Forest Hills, NY 11375
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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 Kristen Wallace's NPI number?

The NPI number for Kristen Wallace is 1104263896. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Kristen Wallace located?

Kristen Wallace practices at 7261 113th St Apt 2R, Forest Hills, NY 11375. The listed phone number is (718) 679-3595.

What is Kristen 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 Kristen Wallace was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.