LOWELL WALLACE
NPI 1932610623
Social Worker - Clinical in Philadelphia, MS

Active since October 20, 2017
1120 E MAIN ST STE 24, PHILADELPHIA, MS 39350(601) 781-8677(601) 207-7720 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 20, 2017 (2 updates tracked since 2017).

About Lowell Wallace NPPES

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

LOWELL WALLACE (NPI 1932610623) is an individual clinical provider in Philadelphia, Mississippi and active in the NPI registry since October 2017. He maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1932610623
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLOWELL WALLACE
Location Address1120 E MAIN ST STE 24Philadelphia, MS 39350-2300
Mailing Address1120 E Main St Ste 24Philadelphia, MS 39350-2300 · (601) 781-8677 · Fax (601) 207-7720
Fax(601) 207-7720
Sole ProprietorNo
Enumeration DateOctober 20, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1932610623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1120 E MAIN ST STE 24, Philadelphia, MS 39350

Secondary Practice Location 1

Location 14715 24th PlMeridian, MS 39305-1686 · Phone (601) 696-6736 · Fax (601) 696-6778

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Psychiatric/Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350
Nurse Practitioner (Psychiatric/Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350
Nurse Practitioner (Psychiatric/Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350
Nurse Practitioner (Psychiatric/Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350
Nurse Practitioner (Psychiatric/Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350
Counselor (Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350
Counselor (Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350
Nurse Practitioner (Psychiatric/Mental Health)
1120 E MAIN ST STE 24
PHILADELPHIA, MS 39350

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 Lowell Wallace's NPI number?

The NPI number for Lowell Wallace is 1932610623. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Lowell Wallace located?

Lowell Wallace practices at 1120 E Main St Ste 24, Philadelphia, MS 39350. The listed phone number is (601) 781-8677.

What is Lowell Wallace's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Lowell Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Lowell Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lowell Wallace was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.