MR. MICAH WALLACE CDCA
NPI 1548934227
Case Manager/Care Coordinator in Cincinnati, OH

Q: What is Micah Wallace's NPI number?

The NPI number for Micah Wallace is 1548934227. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Micah Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Micah Wallace was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 05, 2021

909 SYCAMORE ST, CINCINNATI, OH 45202(513) 558-9006(513) 558-3880 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2022, Aug 5, 2021 (2 updates tracked since 2021).

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About Mr. Micah Wallace Cdca NPPES

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

MR. MICAH WALLACE CDCA (NPI 1548934227) is an individual case manager/care coordinator provider in Cincinnati, Ohio, licensed in Ohio (181021) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1548934227

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. MICAH WALLACECredential: CDCA

Location Address909 SYCAMORE STCincinnati, OH 45202-1305

Mailing Address311 Albert Sabin WayCincinnati, OH 45229-2838 · (513) 558-9006 · Fax (513) 558-3880

Phone(513) 558-9006

Fax(513) 558-3880

Sole ProprietorNo

Enumeration DateAugust 5, 2021

Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1548934227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OH · 181021

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.

909 SYCAMORE ST, Cincinnati, OH 45202

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Other Identifiers 1

Other181021OH · Cdca

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.

GERALYN MARIE CLEARY MSW, LISW

Social Worker (Clinical)