MRS. CHULETE AURIELLE WALLACE-KEANE LCSW
NPI 1962894485
Social Worker - Clinical in Moody Afb, GA

Active since February 20, 2015
3280 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2023, May 2, 2018 (2 updates tracked since 2018).

About Mrs. Chulete Aurielle Wallace-keane Lcsw NPPES

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

MRS. CHULETE AURIELLE WALLACE-KEANE LCSW (NPI 1962894485) is an individual clinical provider in Moody Afb, Georgia, licensed in North Carolina (C010976) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1962894485
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CHULETE AURIELLE WALLACE-KEANECredential: LCSW
Location Address3280 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3280 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-3898
Sole ProprietorNo
Enumeration DateFebruary 20, 2015
Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
NPI 1962894485 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 NC · C010976
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.
3280 MITCHELL BLVD, Moody Afb, GA 31699

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.

Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Counselor (Mental Health)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699

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 Chulete Wallace-keane's NPI number?

The NPI number for Chulete Wallace-keane is 1962894485. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Chulete Wallace-keane located?

Chulete Wallace-keane practices at 3280 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-2778.

What is Chulete Wallace-keane'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 Chulete Wallace-keane was last updated on December 4, 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.