TERRI LYNN WALLACE CDCA,QMHS
NPI 1215510110
Case Manager/Care Coordinator in Ironton, OH

Q: What is Terri Wallace's NPI number?

The NPI number for Terri Wallace is 1215510110. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Terri Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Terri Wallace was last updated on May 28, 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.

Active since April 29, 2021

700 PARK AVE, IRONTON, OH 45638(740) 532-1613(740) 879-0599 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 28, 2021, Apr 29, 2021 (2 updates tracked since 2021).

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About Terri Lynn Wallace Cdca,qmhs NPPES

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

TERRI LYNN WALLACE CDCA,QMHS (NPI 1215510110) is an individual case manager/care coordinator provider in Ironton, Ohio, licensed in Ohio (CDCA.176418) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1215510110

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameTERRI LYNN WALLACECredential: CDCA,QMHS

Location Address700 PARK AVEIronton, OH 45638-1502

Mailing AddressPo Box 108Ironton, OH 45638-0108 · (740) 532-1613 · Fax (740) 879-0599

Phone(740) 532-1613

Fax(740) 879-0599

Sole ProprietorNo

Enumeration DateApril 29, 2021

Last NPPES UpdateMay 28, 20212 updates tracked since enumeration

NPPES CertifiedMay 28, 2021

✔ NPI 1215510110 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 OH · CDCA.176418

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.

700 PARK AVE, Ironton, OH 45638

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Other Identifiers 1

Medicaid0441073OH

Other Providers at the Same Location NPPES 20

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

MASON EASTHAM LCDCII

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