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MICHELLE WALLACE
NPI 1609136266
Social Worker - Clinical in New York, NY

Active since May 16, 2012
245 E 19TH ST, APT. 12F, NEW YORK, NY 10003(516) 603-3038 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Wallace NPPES

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

MICHELLE WALLACE (NPI 1609136266) is an individual clinical provider in New York, New York and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1609136266
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE WALLACE
Location Address245 E 19TH ST, APT. 12FNew York, NY 10003-2639
Mailing Address245 E 19th St, Apt. 12fNew York, NY 10003-2639 · (516) 603-3038
Phone(516) 603-3038
Sole ProprietorYes
Enumeration DateMay 16, 2012
Last NPPES UpdateJune 9, 2015
✔ NPI 1609136266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
245 E 19TH ST, New York, NY 10003
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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.

MICHAEL KHILKIN D.O.
Internal Medicine (Pulmonary Disease)
245 E 19TH ST, APT. 6T
NEW YORK, NY 10003
New York County (917) 885-5360
DR. RANDALL JOEL HIRSCH M.D.
General Practice
245 E 19TH ST, 2M
NEW YORK, NY 10003
New York County (773) 935-9163

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 Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1609136266. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Michelle Wallace located?

Michelle Wallace practices at 245 E 19th St Apt. 12F, New York, NY 10003. The listed phone number is (516) 603-3038.

What is Michelle 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 Michelle Wallace was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.