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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMANDA CHRISTINE WALLACE LMSW
NPI 1215832282
Social Worker in Olive Branch, MS

Active since October 10, 2026
6126 CHICKASAW DR, OLIVE BRANCH, MS 38654(404) 408-3292 Get Directions Write a Review

NPPES record added: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Amanda Christine Wallace Lmsw NPPES

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

AMANDA CHRISTINE WALLACE LMSW (NPI 1215832282) is an individual social worker in Olive Branch, Mississippi, licensed in Tennessee (16865) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1215832282
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAMANDA CHRISTINE WALLACECredential: LMSW
Location Address6126 CHICKASAW DROlive Branch, MS 38654-3114
Mailing Address6126 Chickasaw DrOlive Branch, MS 38654-3114 · (404) 408-3292
Phone(404) 408-3292
Sole ProprietorNo
Enumeration DateOctober 10, 2026
NPPES CertifiedOctober 10, 2026
✔ NPI 1215832282 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 TN · 16865
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.
6126 CHICKASAW DR, Olive Branch, MS 38654
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Other Names 1

Professional Name (2)Thea Wallace Lmsw

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 Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1215832282. It was assigned to this individual provider in the NPPES registry on October 10, 2026. The provider is also known as Thea Wallace Lmsw.

Where is Amanda Wallace located?

Amanda Wallace practices at 6126 Chickasaw Dr, Olive Branch, MS 38654. The listed phone number is (404) 408-3292.

What is Amanda 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 Amanda Wallace was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.