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DIANA WALLACE LCSW
NPI 1336145432
Social Worker - Clinical in Newport, KY

Active since June 23, 2005
1 NUNN DR, UNIVERSITY CENTER, SUITE 440, NEWPORT, KY 41099(859) 572-5650(859) 572-5615 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diana Wallace Lcsw NPPES

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

DIANA WALLACE LCSW (NPI 1336145432) is an individual clinical provider in Newport, Kentucky, licensed in Kentucky (3632) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1336145432
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANA WALLACECredential: LCSW
Location Address1 NUNN DR, UNIVERSITY CENTER, SUITE 440Newport, KY 41099-0002
Mailing Address1 Nunn Dr, University Center, Suite 440Newport, KY 41099-0002 · (859) 572-5650 · Fax (859) 572-5615
Phone(859) 572-5650
Fax(859) 572-5615
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateJune 12, 2012
✔ NPI 1336145432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KY · 3632✔ Licensed in CT · 005144
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.
1 NUNN DR, Newport, KY 41099
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Other Identifiers 1

Medicare ID-Type Unspecified800002846CT

Other Providers at the Same Location NPPES 4

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

COLIN JOSEPH MONG LPCC
Counselor (Mental Health)
1 NUNN DR
NEWPORT, KY 41099
Campbell County (740) 703-8893
EMMA BROOKS THOMAS MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 NUNN DR
NEWPORT, KY 41099
Campbell County (270) 438-8436
MRS. HAILEY STUCK MSN APRN FNP-C
Nurse Practitioner (Family)
1 NUNN DR
NEWPORT, KY 41099
Campbell County (859) 572-5100
AARON SCOTT FROMEYER
Student in an Organized Health Care Education/Training Program
1 NUNN DR
NEWPORT, KY 41099
Campbell County (859) 572-5100

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 Diana Wallace's NPI number?

The NPI number for Diana Wallace is 1336145432. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Diana Wallace located?

Diana Wallace practices at 1 Nunn Dr University Center, Suite 440, Newport, KY 41099. The listed phone number is (859) 572-5650.

What is Diana Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Diana Wallace was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.