MS. JILL NATALIE WALLACE LCSW
NPI 1902985724
Social Worker in East Northport, NY

Q: What is Jill Wallace's NPI number?

The NPI number for Jill Wallace is 1902985724. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Jill Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Wallace was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment

15 HEATH LN, EAST NORTHPORT, NY 11731(516) 459-0312 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Jill Natalie Wallace Lcsw NPPES

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

MS. JILL NATALIE WALLACE LCSW (NPI 1902985724) is an individual social worker in East Northport, New York and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1902985724

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. JILL NATALIE WALLACECredential: LCSW

Location Address15 HEATH LNEast Northport, NY 11731-1912

Mailing Address15 Heath LnEast Northport, NY 11731-1912 · (516) 459-0312

Phone(516) 459-0312

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateNovember 3, 2006

Last NPPES UpdateJuly 19, 2024

NPPES CertifiedJuly 19, 2024

✔ NPI 1902985724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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.

15 HEATH LN, East Northport, NY 11731

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Other Identifiers 1

Medicaid01742630NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jill Natalie Wallace Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688707680

PECOS Enrollment IDI20141231000038

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

646 services34 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

180 services23 patients

Other Providers at the Same Location NPPES

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

JILL N WALLACE LCSW PLLC

Social Worker

15 HEATH LN
EAST NORTHPORT, NY 11731

Suffolk County (516) 459-0312

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 Jill Wallace's NPI number?

The NPI number for Jill Wallace is 1902985724. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Jill Wallace located?

Jill Wallace practices at 15 Heath Ln, East Northport, NY 11731. The listed phone number is (516) 459-0312.

What is Jill Wallace's specialty?

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

Is Jill Wallace enrolled in Medicare?

Yes. Jill Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jill Wallace was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.