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MARY WALLACE
NPI 1194173443
Case Manager/Care Coordinator in Wenatchee, WA

Active since May 27, 2016
627 S ELLIOTT AVE, WENATCHEE, WA 98801(509) 888-5646 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Wallace NPPES

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

MARY WALLACE (NPI 1194173443) is an individual case manager/care coordinator provider in Wenatchee, Washington, licensed in Washington (CG60538865) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1194173443
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMARY WALLACE
Location Address627 S ELLIOTT AVEWenatchee, WA 98801-3195
Mailing Address627 S Elliott AveWenatchee, WA 98801-3195 · (509) 888-5646
Phone(509) 888-5646
Sole ProprietorYes
Enumeration DateMay 27, 2016
Last NPPES UpdateDecember 7, 2017
✔ NPI 1194173443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in WA · CG60538865
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
627 S ELLIOTT AVE, Wenatchee, WA 98801
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Other Identifiers 1

Medicaid2091091WA

Other Providers at the Same Location NPPES 5

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

PATRICK BURNS
Counselor (Mental Health)
627 S ELLIOTT AVE
WENATCHEE, WA 98801
Chelan County (509) 888-5646
CATHOLIC FAMILY & CHILD SERVICE
Community Based Residential Treatment Facility, Mental Illness
627 S ELLIOTT AVE
WENATCHEE, WA 98801
Chelan County (509) 888-5646
CYNTHIA DAVIS
Counselor (Mental Health)
627 S ELLIOTT AVE
WENATCHEE, WA 98801
Chelan County (509) 888-5646
MR. ANDREW LANE
Counselor
627 S ELLIOTT AVE
WENATCHEE, WA 98801
Chelan County (509) 888-5646
MRS. SUNSHINE BLAGG
Counselor
627 S ELLIOTT AVE
WENATCHEE, WA 98801
Chelan County (509) 888-5646

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 Mary Wallace's NPI number?

The NPI number for Mary Wallace is 1194173443. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Mary Wallace located?

Mary Wallace practices at 627 S Elliott Ave, Wenatchee, WA 98801. The listed phone number is (509) 888-5646.

What is Mary Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Mary Wallace was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.