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AMANDA MARIE WALLACE LCSW
NPI 1952808024
Case Manager/Care Coordinator in Mohall, ND

Active since April 06, 2018
205 MAIN ST E, MOHALL, ND 58761(701) 756-6374 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Marie Wallace Lcsw NPPES

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

AMANDA MARIE WALLACE LCSW (NPI 1952808024) is an individual case manager/care coordinator provider in Mohall, North Dakota, licensed in North Dakota (4524) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1952808024
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameAMANDA MARIE WALLACECredential: LCSW
Location Address205 MAIN ST EMohall, ND 58761-4014
Mailing AddressPo Box 305Mohall, ND 58761-0305 · (701) 756-6374
Phone(701) 756-6374
Sole ProprietorNo
Enumeration DateApril 6, 2018
✔ NPI 1952808024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in ND · 4524
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.
205 MAIN ST E, Mohall, ND 58761
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Other Identifiers 1

Medicaid1473894ND

Other Providers at the Same Location NPPES

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

RENVILLE COUNTY SOCIAL SERVICES
Case Management
205 MAIN ST E
MOHALL, ND 58761
Renville County (701) 756-6374

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 Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1952808024. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Amanda Wallace located?

Amanda Wallace practices at 205 Main St E, Mohall, ND 58761. The listed phone number is (701) 756-6374.

What is Amanda 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 Amanda Wallace was last updated on April 6, 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.