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JESSICA WALLACE LMSW
NPI 1649751801
Social Worker in Massapequa, NY

Active since August 26, 2018
75 GRAND AVE, MASSAPEQUA, NY 11758(516) 799-3203 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Mar 24, 2023, Aug 26, 2018 (3 updates tracked since 2018).

About Jessica Wallace Lmsw NPPES

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

JESSICA WALLACE LMSW (NPI 1649751801) is an individual social worker in Massapequa, New York, licensed in New York (117144) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1649751801
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJESSICA WALLACECredential: LMSW
Location Address75 GRAND AVEMassapequa, NY 11758-4905
Mailing Address75 Grand AveMassapequa, NY 11758-4905 · (516) 799-3203
Phone(516) 799-3203
Sole ProprietorYes
Enumeration DateAugust 26, 2018
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1649751801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 117144
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
75 GRAND AVE, Massapequa, NY 11758
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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.

MS. KELLY KOWALEK LMSW
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MRS. ANGELA PICCININNI LCSW R
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (519) 799-3203
MS. MEGAN CATHERINE MCCORMACK LMSW
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
ALYSSA FOUAD
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (515) 719-0313
ASHLYN MARIE RUSSO
Marriage & Family Therapist
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MICHELLE HARCLERODE
Counselor
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
DANIELLE ISABELLA SIMONE LMSW
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MRS. CORINNE AGNES ALBA LMHC, CASAC
Counselor (Mental Health)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 885-1818

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 Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1649751801. It was assigned to this individual provider in the NPPES registry on August 26, 2018.

Where is Jessica Wallace located?

Jessica Wallace practices at 75 Grand Ave, Massapequa, NY 11758. The listed phone number is (516) 799-3203.

What is Jessica Wallace's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jessica Wallace was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.