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MS. JAN ELLEN WALLACE LCSW
NPI 1972936425
Social Worker - Clinical in Tucson, AZ

Active since August 19, 2013
140 N TUCSON BLVD, TUCSON, AZ 85716(520) 396-1021(520) 881-1648 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jan Ellen Wallace Lcsw NPPES

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

MS. JAN ELLEN WALLACE LCSW (NPI 1972936425) is an individual clinical provider in Tucson, Arizona, licensed in Arizona (LCSW-1647) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1972936425
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JAN ELLEN WALLACECredential: LCSW
Location Address140 N TUCSON BLVDTucson, AZ 85716-4740
Mailing Address140 N Tucson BlvdTucson, AZ 85716-4740 · (520) 396-1021 · Fax (520) 881-1648
Phone(520) 396-1021
Fax(520) 881-1648
Sole ProprietorNo
Enumeration DateAugust 19, 2013
✔ NPI 1972936425 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 AZ · LCSW-1647
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.
140 N TUCSON BLVD, Tucson, AZ 85716
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Other Providers at the Same Location NPPES 4

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

VIRGINIA DENISE ORTIZ
Social Worker (Clinical)
140 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 881-1292
DANIEL A HOLBERY M.ED
Behavior Analyst
140 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 881-1292
THERESA LINDBERG MSC
Counselor (Professional)
140 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 881-1292
RENA SABEY MSW
Social Worker (Clinical)
140 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 881-1292

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 Jan Wallace's NPI number?

The NPI number for Jan Wallace is 1972936425. It was assigned to this individual provider in the NPPES registry on August 19, 2013.

Where is Jan Wallace located?

Jan Wallace practices at 140 N Tucson Blvd, Tucson, AZ 85716. The listed phone number is (520) 396-1021.

What is Jan 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 Jan Wallace was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.