MR. WILLIE JAMES WALLACE JR. LMSW
NPI 1851631485
Social Worker - Clinical in Hammond, LA

Active since February 19, 2013
835 PRIDE DR, HAMMOND, LA 70401(985) 543-4730(985) 543-4752 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Willie James Wallace Jr. Lmsw NPPES

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

MR. WILLIE JAMES WALLACE JR. LMSW (NPI 1851631485) is an individual clinical provider in Hammond, Louisiana, licensed in Louisiana (4852) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1851631485
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WILLIE JAMES WALLACE JR.Credential: LMSW
Location Address835 PRIDE DRHammond, LA 70401-9527
Mailing Address835 Pride DrHammond, LA 70401-9527 · (985) 543-4730 · Fax (985) 543-4752
Fax(985) 543-4752
Sole ProprietorNo
Enumeration DateFebruary 19, 2013
NPI 1851631485 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 LA · 4852
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.
835 PRIDE DR, Hammond, LA 70401

Other Providers at the Same Location NPPES 17

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

Counselor (Professional)
835 PRIDE DR
HAMMOND, LA 70401
Peer Specialist
835 PRIDE DR
HAMMOND, LA 70401
Licensed Practical Nurse
835 PRIDE DR, STE B
HAMMOND, LA 70401
Registered Nurse (Psychiatric/Mental Health)
835 PRIDE DR, SUITE B
HAMMOND, LA 70401
Counselor (Professional)
835 PRIDE DR
HAMMOND, LA 70401
Licensed Practical Nurse
835 PRIDE DR
HAMMOND, LA 70401
Licensed Practical Nurse
835 PRIDE DR, SUITE B
HAMMOND, LA 70401
Counselor
835 PRIDE DR, STE B
HAMMOND, LA 70401

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 Willie Wallace's NPI number?

The NPI number for Willie Wallace is 1851631485. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Where is Willie Wallace located?

Willie Wallace practices at 835 Pride Dr, Hammond, LA 70401. The listed phone number is (985) 543-4730.

What is Willie 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 Willie Wallace was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.