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MELISSA A WALLACE EDM
NPI 1700069424
Case Manager/Care Coordinator in Dorchester, MA

Active since December 17, 2007
105 VICTORY RD, DORCHESTER, MA 02122(617) 619-6921 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa A Wallace Edm NPPES

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

MELISSA A WALLACE EDM (NPI 1700069424) is an individual case manager/care coordinator provider in Dorchester, Massachusetts and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1700069424
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMELISSA A WALLACECredential: EDM
Location Address105 VICTORY RDDorchester, MA 02122-3518
Mailing Address105 Victory RdDorchester, MA 02122-3518 · (617) 619-6921
Phone(617) 619-6921
Sole ProprietorYes
Enumeration DateDecember 17, 2007
✔ NPI 1700069424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
105 VICTORY RD, Dorchester, MA 02122
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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.

KEIANI GARCIA SANTOS GOMES OTR
Occupational Therapist
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010
MS. ELAINE MARCIA PAISNER
Case Manager/Care Coordinator
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010
TESSA MANHARD
Case Manager/Care Coordinator
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010
RAHEL LEAH KATZ
Counselor (Mental Health)
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010
VIRGINIA ANN GRAHAM OT
Occupational Therapist
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010
SHELBIE CHRISTINE UNRAT
Counselor (Mental Health)
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010
MS. NICOLE ANNE ELLIS M.S.
Speech-Language Pathologist
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010
JOANNA MCGROARTY
Specialist
105 VICTORY RD
DORCHESTER, MA 02122
Suffolk County (617) 371-3010

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 Melissa Wallace's NPI number?

The NPI number for Melissa Wallace is 1700069424. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Melissa Wallace located?

Melissa Wallace practices at 105 Victory Rd, Dorchester, MA 02122. The listed phone number is (617) 619-6921.

What is Melissa Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Melissa Wallace was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.