KAITLIN WALLICK LPC
NPI 1962071092
Counselor - Mental Health in Charleston, SC

Q: What is Kaitlin Wallick's NPI number?

The NPI number for Kaitlin Wallick is 1962071092. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Kaitlin Wallick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Wallick was last updated on September 6, 2023. 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 June 22, 2021

222 PORT TACK DR, CHARLESTON, SC 29492(215) 932-4887 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Jun 22, 2021 (2 updates tracked since 2021).

On this page

About Kaitlin Wallick Lpc NPPES

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

KAITLIN WALLICK LPC (NPI 1962071092) is an individual mental health provider in Charleston, South Carolina, licensed in Pennsylvania (PC015886) and active in the NPI registry since June 2021. She maintains a secondary practice location in Pittston.

NPPES Registry Identity

NPI1962071092

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKAITLIN WALLICKCredential: LPC

Location Address222 PORT TACK DRCharleston, SC 29492-8933

Mailing Address222 Port Tack DrCharleston, SC 29492-8933

Phone(215) 932-4887

Sole ProprietorNo

Enumeration DateJune 22, 2021

Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2023

✔ NPI 1962071092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in PA · PC015886

Also ListedBehavior TechnicianTaxonomy 106S00000X

222 PORT TACK DR, Charleston, SC 29492

Open in Google Maps ↗

Secondary Practice Location 1

Location 11081 Oak St Unit 3Pittston, PA 18640-3716 · Phone (888) 726-4774

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 Kaitlin Wallick's NPI number?

The NPI number for Kaitlin Wallick is 1962071092. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Kaitlin Wallick located?

Kaitlin Wallick practices at 222 Port Tack Dr, Charleston, SC 29492. The listed phone number is (215) 932-4887.

What is Kaitlin Wallick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kaitlin Wallick was last updated on September 6, 2023. 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.