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DEJUANNA WALLACE
NPI 1528411287
Case Manager/Care Coordinator in Los Angeles, CA

Active since July 18, 2016
11303 W WASHINGTON BLVD, LOS ANGELES, CA 90066(213) 738-3474 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2018, Apr 27, 2018 (2 updates tracked since 2018).

About Dejuanna Wallace NPPES

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

DEJUANNA WALLACE (NPI 1528411287) is an individual case manager/care coordinator provider in Los Angeles, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1528411287
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDEJUANNA WALLACE
Location Address11303 W WASHINGTON BLVDLos Angeles, CA 90066
Mailing Address11303 W Washington BlvdLos Angeles, CA 90066-6003 · (213) 738-3474
Phone(213) 738-3474
Sole ProprietorNo
Enumeration DateJuly 18, 2016
Last NPPES UpdateMay 16, 20182 updates tracked since enumeration
✔ NPI 1528411287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
11303 W WASHINGTON BLVD, Los Angeles, CA 90066
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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.

MS. GWENDOLYN ELIZABETH DAVIS LCSW
Social Worker (Clinical)
11303 W WASHINGTON BLVD, SUITE 200
LOS ANGELES, CA 90066
Los Angeles County (310) 482-6600
ASHLEY NADENE LANDES
Social Worker
11303 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 889-8618
FATEMEH SAFAVI MASTER
Case Manager/Care Coordinator
11303 W WASHINGTON BLVD, SUITE 200
LOS ANGELES, CA 90066
Los Angeles County (310) 482-6600
DIANA L COOPER CPS
Counselor
11303 W WASHINGTON BLVD, 2 FLOOR
LOS ANGELES, CA 90066
Los Angeles County (310) 482-6600
EVE WETTSTEIN LCSW, MSG
Social Worker (Clinical)
11303 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 301-7396
DINA MCDOWELL
Case Manager/Care Coordinator
11303 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 482-3260
KARINA VASQUEZ
Psychologist
11303 W WASHINGTON BLVD, SUITE 200
LOS ANGELES, CA 90066
Los Angeles County (310) 482-6603
DR. CHRYSTAL ELIZABETH EVANS PSY.D.
Psychologist (Clinical)
11303 W WASHINGTON BLVD, SUITE 200
LOS ANGELES, CA 90066
Los Angeles County (310) 482-6600

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 Dejuanna Wallace's NPI number?

The NPI number for Dejuanna Wallace is 1528411287. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Dejuanna Wallace located?

Dejuanna Wallace practices at 11303 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (213) 738-3474.

What is Dejuanna Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Dejuanna Wallace was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.