1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Social Worker
  6. NPI Profile

RICKY WALLACE
NPI 1538455142
Social Worker in Jacksonville, FL

Active since June 22, 2011
10512 INNISBROOK DRIVE, JACKSONVILLE, FL 32222(904) 534-4937(800) 863-2339 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ricky Wallace NPPES

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

RICKY WALLACE (NPI 1538455142) is an individual social worker in Jacksonville, Florida and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1538455142
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameRICKY WALLACE
Location Address10512 INNISBROOK DRIVEJacksonville, FL 32222
Mailing Address10512 Innisbrook DrJacksonville, FL 32222-1363 · (904) 534-4937 · Fax (800) 863-2339
Phone(904) 534-4937
Fax(800) 863-2339
Sole ProprietorYes
Enumeration DateJune 22, 2011
✔ NPI 1538455142 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.
10512 INNISBROOK DRIVE, Jacksonville, FL 32222
Open in Google Maps ↗

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 Ricky Wallace's NPI number?

The NPI number for Ricky Wallace is 1538455142. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Ricky Wallace located?

Ricky Wallace practices at 10512 Innisbrook Drive, Jacksonville, FL 32222. The listed phone number is (904) 534-4937.

What is Ricky 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 Ricky Wallace was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.