PRISCILLA WALLACE
NPI 1962843417
Social Worker - Clinical in Detroit, MI

Active since July 12, 2013
2051 W GRAND BLVD, DETROIT, MI 48208(313) 961-3200 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Priscilla Wallace NPPES

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

PRISCILLA WALLACE (NPI 1962843417) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6802086262) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1962843417
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePRISCILLA WALLACE
Location Address2051 W GRAND BLVDDetroit, MI 48208-1105
Mailing Address2051 W Grand BlvdDetroit, MI 48208-1105 · (313) 961-3200
Sole ProprietorYes
Enumeration DateJuly 12, 2013
NPI 1962843417 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 MI · 6802086262
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.
2051 W GRAND BLVD, Detroit, MI 48208

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
2051 W GRAND BLVD, NEW CENTER COMMUNITY MENTAL HEALTH SERVICES
DETROIT, MI 48208
Social Worker
2051 W GRAND BLVD
DETROIT, MI 48208
Social Worker
2051 W GRAND BLVD
DETROIT, MI 48208
Social Worker
2051 W GRAND BLVD
DETROIT, MI 48208
Social Worker
2051 W GRAND BLVD
DETROIT, MI 48208
Case Manager/Care Coordinator
2051 W GRAND BLVD
DETROIT, MI 48208
Licensed Practical Nurse
2051 W GRAND BLVD
DETROIT, MI 48208
Social Worker
2051 W GRAND BLVD
DETROIT, MI 48208

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 Priscilla Wallace's NPI number?

The NPI number for Priscilla Wallace is 1962843417. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Priscilla Wallace located?

Priscilla Wallace practices at 2051 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 961-3200.

What is Priscilla 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 Priscilla Wallace was last updated on July 12, 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.