HOLLY WALLACE LSW
NPI 1356167563
Social Worker in Normal, IL

Active since December 03, 2024
1302 FRANKLIN AVE STE L500, NORMAL, IL 61761(309) 451-8888 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Wallace Lsw NPPES

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

HOLLY WALLACE LSW (NPI 1356167563) is an individual social worker in Normal, Illinois, licensed in Illinois (150.114983) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1356167563
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameHOLLY WALLACECredential: LSW
Location Address1302 FRANKLIN AVE STE L500Normal, IL 61761-3551
Mailing Address2000 Jacobssen DrNormal, IL 61761-6277 · (309) 451-8888
Sole ProprietorNo
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
NPI 1356167563 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 IL · 150.114983
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.
1302 FRANKLIN AVE STE L500, Normal, IL 61761

Other Providers at the Same Location NPPES 19

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

Behavior Analyst
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761
Developmental Therapist
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761
Behavior Technician
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761
Pediatrics (Developmental - Behavioral Pediatrics)
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761
Speech-Language Pathologist
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761
Occupational Therapist
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761
Behavior Technician
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761
Social Worker (Clinical)
1302 FRANKLIN AVE STE L500
NORMAL, IL 61761

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 Holly Wallace's NPI number?

The NPI number for Holly Wallace is 1356167563. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Holly Wallace located?

Holly Wallace practices at 1302 Franklin Ave Ste L500, Normal, IL 61761. The listed phone number is (309) 451-8888.

What is Holly 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 Holly Wallace was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.