CASANDRA WALLACE M.S.
NPI 1518490465
Counselor - School in Shreveport, LA

Active since April 07, 2017
6811 FAIRFIELD AVE, SHREVEPORT, LA 71106(318) 670-3975 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Casandra Wallace M.s. NPPES

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

CASANDRA WALLACE M.S. (NPI 1518490465) is an individual school provider in Shreveport, Louisiana and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1518490465
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameCASANDRA WALLACECredential: M.S.
Location Address6811 FAIRFIELD AVEShreveport, LA 71106-3803
Mailing Address6811 Fairfield AveShreveport, LA 71106-3803 · (318) 670-3975
Sole ProprietorNo
Enumeration DateApril 7, 2017
✔ NPI 1518490465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
6811 FAIRFIELD AVE, Shreveport, LA 71106

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.

Social Worker
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106
Social Worker
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106
Clinic/Center (Rehabilitation, Substance Use Disorder)
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106
Case Manager/Care Coordinator
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106
Social Worker
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106
Social Worker
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106
Counselor (Mental Health)
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106
Case Manager/Care Coordinator
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106

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 Casandra Wallace's NPI number?

The NPI number for Casandra Wallace is 1518490465. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Casandra Wallace located?

Casandra Wallace practices at 6811 Fairfield Ave, Shreveport, LA 71106. The listed phone number is (318) 670-3975.

What is Casandra Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Casandra Wallace was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.