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BAKARI WALLACE
NPI 1407259674
Social Worker in Detroit, MI

Active since October 02, 2014
2888 W GRAND BLVD, DETROIT, MI 48202(313) 874-8715 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bakari Wallace NPPES

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

BAKARI WALLACE (NPI 1407259674) is an individual social worker in Detroit, Michigan and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1407259674
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameBAKARI WALLACE
Location Address2888 W GRAND BLVDDetroit, MI 48202-2612
Mailing Address14882 Piedmont StDetroit, MI 48223-2243 · (313) 208-0466
Phone(313) 874-8715
Sole ProprietorYes
Enumeration DateOctober 2, 2014
✔ NPI 1407259674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
2888 W GRAND BLVD, Detroit, MI 48202
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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.

THE WELLNESS PLAN MEDICAL CENTERS
Clinic/Center
2888 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 875-4200
RENEE FYFE CPSS & CPRC
Peer Specialist
2888 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 875-4200
DMC CLINICAL LAB INC
Clinical Medical Laboratory
2888 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 871-1200
GATEWAY OBGYN ASSOCIATES PLLC
Obstetrics & Gynecology
2888 W GRAND BLVD, ST. 287
DETROIT, MI 48202
Wayne County (313) 875-4200
BRIAN MANGENJE FNP-BC
Nurse Practitioner (Family)
2888 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 875-4200
MRS. KIMBERLY LOUISE THORNTON RPH
Pharmacist
2888 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 875-5614
MRS. DANITA MAYES DIXON FNP-C
Nurse Practitioner (Family)
2888 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 875-4200
DR. KRYSTLE CHARON-WOODS HOLLIER PH.D.
Psychologist (Clinical)
2888 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 875-5017

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 Bakari Wallace's NPI number?

The NPI number for Bakari Wallace is 1407259674. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Bakari Wallace located?

Bakari Wallace practices at 2888 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 874-8715.

What is Bakari 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 Bakari Wallace was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.