JOHN BURTON WALLACE V LCSW
NPI 1437590973
Social Worker in Decatur, GA

Active since July 12, 2013
1123 CLAIRMONT RD, DECATUR, GA 30030(917) 392-6700 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2021, Aug 17, 2021, Jul 21, 2020 and 1 more (4 updates tracked since 2019).

About John Burton Wallace V Lcsw NPPES

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

JOHN BURTON WALLACE V LCSW (NPI 1437590973) is an individual social worker in Decatur, Georgia and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1437590973
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJOHN BURTON WALLACE VCredential: LCSW
Location Address1123 CLAIRMONT RDDecatur, GA 30030-1207
Mailing Address1736 Oakview RdDecatur, GA 30030-4235 · (917) 392-6700
Sole ProprietorYes
Enumeration DateJuly 12, 2013
Last NPPES UpdateMarch 18, 20244 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1437590973 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.
1123 CLAIRMONT RD, Decatur, GA 30030

Other Providers at the Same Location NPPES 14

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

Counselor
1123 CLAIRMONT RD
DECATUR, GA 30030
General Practice
1123 CLAIRMONT RD
DECATUR, GA 30030
Social Worker (Clinical)
1123 CLAIRMONT RD
DECATUR, GA 30030
Counselor (Professional)
1123 CLAIRMONT RD
DECATUR, GA 30030
Social Worker (Clinical)
1123 CLAIRMONT RD
DECATUR, GA 30030
Psychiatry & Neurology (Psychiatry)
1123 CLAIRMONT RD
DECATUR, GA 30030
Health and Wellness Coach
1123 CLAIRMONT RD
DECATUR, GA 30030
Counselor (Mental Health)
1123 CLAIRMONT RD
DECATUR, GA 30030

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 John Wallace's NPI number?

The NPI number for John Wallace is 1437590973. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is John Wallace located?

John Wallace practices at 1123 Clairmont Rd, Decatur, GA 30030. The listed phone number is (917) 392-6700.

What is John 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 John Wallace was last updated on March 18, 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.