MR. BENNETT ALLAN WALLACE M.S.S.W
NPI 1699042788
Social Worker - Clinical in Louisville, KY

Active since November 17, 2011
164 E ASHLAND AVE, LOUISVILLE, KY 40214(502) 693-2606 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bennett Allan Wallace M.s.s.w NPPES

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

MR. BENNETT ALLAN WALLACE M.S.S.W (NPI 1699042788) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (3772) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1699042788
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BENNETT ALLAN WALLACECredential: M.S.S.W
Location Address164 E ASHLAND AVELouisville, KY 40214-1908
Mailing Address164 E Ashland AveLouisville, KY 40214-1908 · (502) 693-2606
Sole ProprietorYes
Enumeration DateNovember 17, 2011
NPI 1699042788 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 KY · 3772
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.
164 E ASHLAND AVE, Louisville, KY 40214

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 Bennett Wallace's NPI number?

The NPI number for Bennett Wallace is 1699042788. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Bennett Wallace located?

Bennett Wallace practices at 164 E Ashland Ave, Louisville, KY 40214. The listed phone number is (502) 693-2606.

What is Bennett 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 Bennett Wallace was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.