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COURTNEY CREAL WALLACE LCSW, CADC
NPI 1548692189
Social Worker - Clinical in Louisville, KY

Active since August 06, 2013
1432 S SHELBY ST, LOUISVILLE, KY 40217(502) 635-4538(502) 635-4570 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Creal Wallace Lcsw, Cadc NPPES

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

COURTNEY CREAL WALLACE LCSW, CADC (NPI 1548692189) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (3882) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1548692189
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOURTNEY CREAL WALLACECredential: LCSW, CADC
Location Address1432 S SHELBY STLouisville, KY 40217-1166
Mailing Address1436 S Shelby StLouisville, KY 40217-1107 · (502) 635-4538 · Fax (502) 635-4570
Phone(502) 635-4538
Fax(502) 635-4570
Sole ProprietorNo
Enumeration DateAugust 6, 2013
Last NPPES UpdateMay 28, 2014
✔ NPI 1548692189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 3882
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1771 (KY)
1432 S SHELBY ST, Louisville, KY 40217
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Other Providers at the Same Location NPPES 2

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

VOLUNTEERS OF AMERICA OF KENTUCKY INC
Counselor (Addiction (Substance Use Disorder))
1432 S SHELBY ST
LOUISVILLE, KY 40217
Jefferson County (502) 634-0082
MARLENE CROWE CADC, BA
Counselor (Addiction (Substance Use Disorder))
1432 S SHELBY ST
LOUISVILLE, KY 40217
Jefferson County (502) 634-0082

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 Courtney Wallace's NPI number?

The NPI number for Courtney Wallace is 1548692189. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Courtney Wallace located?

Courtney Wallace practices at 1432 S Shelby St, Louisville, KY 40217. The listed phone number is (502) 635-4538.

What is Courtney Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Courtney Wallace was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.