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TREVOR WALLACE CDCA
NPI 1568965044
Case Manager/Care Coordinator in Toledo, OH

Active since March 12, 2018
1201 CHAMPLAIN ST, TOLEDO, OH 43604(567) 316-7253 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trevor Wallace Cdca NPPES

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

TREVOR WALLACE CDCA (NPI 1568965044) is an individual case manager/care coordinator provider in Toledo, Ohio, licensed in Ohio (CDCA.165733) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1568965044
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTREVOR WALLACECredential: CDCA
Location Address1201 CHAMPLAIN STToledo, OH 43604-1907
Mailing Address3222 W Central AveToledo, OH 43606-2929
Phone(567) 316-7253
Sole ProprietorNo
Enumeration DateMarch 12, 2018
✔ NPI 1568965044 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 · CDCA.165733
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.
1201 CHAMPLAIN ST, Toledo, OH 43604
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Other Providers at the Same Location NPPES 6

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

VOLUNTEERS OF AMERICA NORTHWEST OHIO, INC.
Voluntary or Charitable
1201 CHAMPLAIN ST
TOLEDO, OH 43604
Lucas County (419) 248-3733
NAIM ABDULHAKIM
Peer Specialist
1201 CHAMPLAIN ST
TOLEDO, OH 43604
Lucas County (419) 984-5194
MRS. TIFFANY BRACKETT CDCA
Case Manager/Care Coordinator
1201 CHAMPLAIN ST
TOLEDO, OH 43604
Lucas County (567) 316-7253
GIFFORD FERRELL
Peer Specialist
1201 CHAMPLAIN ST
TOLEDO, OH 43604
Lucas County (734) 373-9983
MOESHA A YATES CDCA
Case Manager/Care Coordinator
1201 CHAMPLAIN ST
TOLEDO, OH 43604
Lucas County (567) 316-7253
KENYATTA DASHAWN DAVIS LPN
Licensed Practical Nurse
1201 CHAMPLAIN ST
TOLEDO, OH 43604
Lucas County (567) 316-7253

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 Trevor Wallace's NPI number?

The NPI number for Trevor Wallace is 1568965044. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Trevor Wallace located?

Trevor Wallace practices at 1201 Champlain St, Toledo, OH 43604. The listed phone number is (567) 316-7253.

What is Trevor 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 Trevor Wallace was last updated on March 12, 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.