TAMIKA SHAVONE WALLACE LCSW- A
NPI 1629415070
Social Worker - Clinical in Fayetteville, NC

Active since May 24, 2013
511 MIDDLE RD, FAYETTEVILLE, NC 28312(910) 584-3564 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamika Shavone Wallace Lcsw- A NPPES

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

TAMIKA SHAVONE WALLACE LCSW- A (NPI 1629415070) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P009482) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1629415070
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTAMIKA SHAVONE WALLACECredential: LCSW- A
Location Address511 MIDDLE RDFayetteville, NC 28312-5207
Mailing Address511 Middle RdFayetteville, NC 28312-5207 · (910) 584-3564
Sole ProprietorNo
Enumeration DateMay 24, 2013
Last NPPES UpdateMay 19, 2015
NPI 1629415070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P009482
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.
511 MIDDLE RD, Fayetteville, NC 28312

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
511 MIDDLE RD
FAYETTEVILLE, NC 28312
Social Worker (Clinical)
511 MIDDLE RD
FAYETTEVILLE, NC 28312
Social Worker (Clinical)
511 MIDDLE RD
FAYETTEVILLE, NC 28312
Community/Behavioral Health
511 MIDDLE RD
FAYETTEVILLE, NC 28312
Psychiatry & Neurology (Psychiatry)
511 MIDDLE RD
FAYETTEVILLE, NC 28312

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 Tamika Wallace's NPI number?

The NPI number for Tamika Wallace is 1629415070. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Tamika Wallace located?

Tamika Wallace practices at 511 Middle Rd, Fayetteville, NC 28312. The listed phone number is (910) 584-3564.

What is Tamika 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 Tamika Wallace was last updated on May 19, 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.