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MITCHELL WALLACE
NPI 1346859253
Case Manager/Care Coordinator in Independence, OH

Active since July 27, 2020
4700 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131(614) 339-1649 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitchell Wallace NPPES

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

MITCHELL WALLACE (NPI 1346859253) is an individual case manager/care coordinator provider in Independence, Ohio and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1346859253
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMITCHELL WALLACE
Location Address4700 ROCKSIDE RD STE 100Independence, OH 44131-2148
Mailing Address4700 Rockside Rd Ste 100Independence, OH 44131-2148 · (614) 339-1649
Phone(614) 339-1649
Sole ProprietorYes
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1346859253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.
4700 ROCKSIDE RD STE 100, Independence, OH 44131
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Other Identifiers 1

Medicaid2910854OH

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.

KELLEY A LIGHTNER LPN
Licensed Practical Nurse
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 750-2600
LEAH BRADFORD
Licensed Practical Nurse
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 750-2600
BOBBI GAINEY
Licensed Practical Nurse
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 750-2600
MONICA ALIOA LSW
Social Worker
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 750-2600
VERDELL BENIFIELD
Case Manager/Care Coordinator
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (614) 339-1649
SANDRA DUDLEY
Case Manager/Care Coordinator
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (614) 339-1649
ANTHONY GLASS
Case Manager/Care Coordinator
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 750-2600
KRISTIN BESTVINA
Case Manager/Care Coordinator
4700 ROCKSIDE RD STE 100
INDEPENDENCE, OH 44131
Cuyahoga County (216) 750-2600

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 Mitchell Wallace's NPI number?

The NPI number for Mitchell Wallace is 1346859253. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Mitchell Wallace located?

Mitchell Wallace practices at 4700 Rockside Rd Ste 100, Independence, OH 44131. The listed phone number is (614) 339-1649.

What is Mitchell 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 Mitchell Wallace was last updated on July 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.