JENNIFER LYNN HATAWAY-WALLACE LCSW
NPI 1255996617
Social Worker - Clinical in Fort Meade, SD

Q: What is Jennifer Hataway-wallace's NPI number?

The NPI number for Jennifer Hataway-wallace is 1255996617. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Jennifer Hataway-wallace's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 01, 2019

113 COMANCHE RD, FORT MEADE, SD 57741(605) 720-7422 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Lynn Hataway-wallace Lcsw NPPES

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

JENNIFER LYNN HATAWAY-WALLACE LCSW (NPI 1255996617) is an individual clinical provider in Fort Meade, South Dakota, licensed in South Dakota (3589) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1255996617

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER LYNN HATAWAY-WALLACECredential: LCSW

Location Address113 COMANCHE RDFort Meade, SD 57741-1002

Mailing Address113 Comanche RdFort Meade, SD 57741-1002 · (605) 720-7422

Phone(605) 720-7422

Sole ProprietorNo

Enumeration DateMay 1, 2019

✔ NPI 1255996617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in SD · 3589

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

113 COMANCHE RD, Fort Meade, SD 57741

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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.

DREW MOSS MD

Family Medicine