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ICELINN PERDUE WALLACE
NPI 1376778100
Social Worker in Pontiac, MI

Active since May 22, 2009
70 LAFAYETTE ST, PONTIAC, MI 48342(248) 338-7458(248) 338-7513 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Icelinn Perdue Wallace NPPES

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

ICELINN PERDUE WALLACE (NPI 1376778100) is an individual social worker in Pontiac, Michigan, licensed in Michigan (680109826) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1376778100
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameICELINN PERDUE WALLACE
Location Address70 LAFAYETTE STPontiac, MI 48342-2033
Mailing Address2830 Corunna RdFlint, MI 48503-3254 · (810) 235-6812 · Fax (810) 234-7022
Phone(248) 338-7458
Fax(248) 338-7513
Sole ProprietorNo
Enumeration DateMay 22, 2009
✔ NPI 1376778100 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 MI · 680109826
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.
70 LAFAYETTE ST, Pontiac, MI 48342
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Other Providers at the Same Location NPPES 7

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

NAOMI BELL
Counselor
70 LAFAYETTE ST
PONTIAC, MI 48342
Oakland County (248) 338-7458
LAURIE MAXWELL LMSW
Counselor
70 LAFAYETTE ST
PONTIAC, MI 48342
Oakland County (248) 338-7458
NEW PASSAGES
Community/Behavioral Health
70 LAFAYETTE ST
PONTIAC, MI 48342
Oakland County (248) 338-7458
DARLENE R MASSEY
Counselor (Mental Health)
70 LAFAYETTE ST
PONTIAC, MI 48342
Oakland County (248) 338-7458
LUETTA KAY ARNESON
Registered Nurse (Psychiatric/Mental Health)
70 LAFAYETTE ST
PONTIAC, MI 48342
Oakland County (248) 338-7458
SHARISE STROUD
Social Worker (Clinical)
70 LAFAYETTE ST
PONTIAC, MI 48342
Oakland County (248) 338-7458
STACEY JARRETT BS
Social Worker (Clinical)
70 LAFAYETTE ST
PONTIAC, MI 48342
Oakland County (248) 338-7458

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 Icelinn Wallace's NPI number?

The NPI number for Icelinn Wallace is 1376778100. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Icelinn Wallace located?

Icelinn Wallace practices at 70 Lafayette St, Pontiac, MI 48342. The listed phone number is (248) 338-7458.

What is Icelinn 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 Icelinn Wallace was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.