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: July 19, 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
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

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.

Behavior Analyst
140 N TUCSON BLVD
TUCSON, AZ 85716
Social Worker (Clinical)
140 N TUCSON BLVD
TUCSON, AZ 85716
Social Worker (Clinical)
140 N TUCSON BLVD
TUCSON, AZ 85716
Counselor (Professional)
140 N TUCSON BLVD
TUCSON, AZ 85716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972936425, enumerated as an "individual" on August 19, 2013.

The provider is located at 140 N TUCSON BLVD TUCSON, AZ 85716 and the phone number is (520) 396-1021.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.