JENNIFER LOUISE WALLACE CSW, QMHP
NPI 1174088900
Social Worker in Rapid City, SD

Active since February 06, 2019
851 WEST ST, RAPID CITY, SD 57701(605) 393-4278 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Feb 6, 2019 (2 updates tracked since 2019).

About Jennifer Louise Wallace Csw, Qmhp NPPES

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

JENNIFER LOUISE WALLACE CSW, QMHP (NPI 1174088900) is an individual social worker in Rapid City, South Dakota, licensed in South Dakota (6674) and active in the NPI registry since February 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174088900
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER LOUISE WALLACECredential: CSW, QMHP
Location Address851 WEST STRapid City, SD 57701-2516
Mailing Address24100 S Rockerville RdRapid City, SD 57702-7422 · (605) 343-5422 · Fax (605) 343-1411
Sole ProprietorNo
Enumeration DateFebruary 6, 2019
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1174088900 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 SD · 6674
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.
851 WEST ST, Rapid City, SD 57701

Secondary Practice Locations 2

Location 124100 S Rockerville RdRapid City, SD 57702-7422 · Phone (605) 343-5422 · Fax (605) 343-1411
Location 25301 Hwy 16Rapid City, SD 57701 · Phone (605) 343-4278

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's NPI number?

The NPI number for Jennifer Wallace is 1174088900. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 851 West St, Rapid City, SD 57701. The listed phone number is (605) 393-4278.

What is Jennifer 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 Jennifer Wallace was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.