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JILL N WALLACE LCSW PLLC
NPI 1356760037
Social Worker in East Northport, NY

Active since April 10, 2014
15 HEATH LN, EAST NORTHPORT, NY 11731(516) 459-0312 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill N Wallace Lcsw Pllc NPPES

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

JILL N WALLACE LCSW PLLC (NPI 1356760037) is a healthcare organization registered as a social worker in East Northport, New York and active in the NPI registry since April 2014. The organization lists Jill N Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1356760037
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameJILL N WALLACE LCSW PLLC
Location Address15 HEATH LNEast Northport, NY 11731-1912
Mailing Address15 Heath LnEast Northport, NY 11731-1912 · (516) 459-0312
Phone(516) 459-0312
Organization SubpartNo
Authorized OfficialJill N WallaceOwner · (516) 459-0312
Enumeration DateApril 10, 2014
Last NPPES UpdateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
✔ NPI 1356760037 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 NY · R045832
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.
15 HEATH LN, East Northport, NY 11731
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. JILL NATALIE WALLACE LCSW
Social Worker
15 HEATH LN
EAST NORTHPORT, NY 11731
Suffolk County (516) 459-0312

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 Jill N Wallace Lcsw PLLC's NPI number?

The NPI number for Jill N Wallace Lcsw PLLC is 1356760037. It was assigned to this organization in the NPPES registry on April 10, 2014.

Where is Jill N Wallace Lcsw PLLC located?

Jill N Wallace Lcsw PLLC is located at 15 Heath Ln, East Northport, NY 11731. The listed phone number is (516) 459-0312.

What is Jill N Wallace Lcsw PLLC'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 Jill N Wallace Lcsw PLLC was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.