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JENNIFER LEE WALLACE MSW, LSW
NPI 1679983449
Counselor - Mental Health in Fleetwood, PA

Active since May 02, 2014
1 W MAIN ST, FLEETWOOD, PA 19522(610) 944-0445(610) 944-8834 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Lee Wallace Msw, Lsw NPPES

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

JENNIFER LEE WALLACE MSW, LSW (NPI 1679983449) is an individual mental health provider in Fleetwood, Pennsylvania, licensed in Pennsylvania (SW126587) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1679983449
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER LEE WALLACECredential: MSW, LSW
Location Address1 W MAIN STFleetwood, PA 19522-1323
Mailing Address555 Ridge RdOrwigsburg, PA 17961-2217 · (610) 960-7658
Phone(610) 944-0445
Fax(610) 944-8834
Sole ProprietorNo
Enumeration DateMay 2, 2014
✔ NPI 1679983449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · SW126587
1 W MAIN ST, Fleetwood, PA 19522
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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.

LOUISE JACQUES
Counselor (Professional)
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445
RACHEL PRUTZMAN
Behavior Analyst
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445
SUSAN EVERETT LCSW
Social Worker (Clinical)
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Community/Behavioral Health
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445
NICOLE ANN KACMAR LPC
Counselor (Professional)
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Nursing Care
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445
MEGAN N WERLEY MSS
Social Worker
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445
MELVINA THOMPSON BSL
Counselor (Professional)
1 W MAIN ST
FLEETWOOD, PA 19522
Berks County (610) 944-0445

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 Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1679983449. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 1 W Main St, Fleetwood, PA 19522. The listed phone number is (610) 944-0445.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.