JAKEYLA WALLACE
NPI 1487470795
Social Worker - Clinical in Concord, NC

Active since December 02, 2024
920 CHURCH ST N, CONCORD, NC 28025(704) 403-4004 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jakeyla Wallace NPPES

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

JAKEYLA WALLACE (NPI 1487470795) is an individual clinical provider in Concord, North Carolina and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1487470795
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAKEYLA WALLACE
Location Address920 CHURCH ST NConcord, NC 28025-2927
Mailing Address6218 Ginkgo LnCharlotte, NC 28215-7146 · (707) 707-7372
Sole ProprietorNo
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
NPI 1487470795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
920 CHURCH ST N, Concord, NC 28025

Accepted Insurance

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.

Emergency Medicine
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Internal Medicine (Critical Care Medicine)
920 CHURCH ST N
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
920 CHURCH ST N
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Home Health
920 CHURCH ST N
CONCORD, NC 28025

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 Jakeyla Wallace's NPI number?

The NPI number for Jakeyla Wallace is 1487470795. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Jakeyla Wallace located?

Jakeyla Wallace practices at 920 Church St N, Concord, NC 28025. The listed phone number is (704) 403-4004.

What is Jakeyla Wallace's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Jakeyla Wallace accept?

Health plans from Blue Cross and Blue Shield of NC list Jakeyla Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jakeyla Wallace was last updated on December 2, 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.