Active NPIIndividual providerSole proprietor

Mrs. Dorothy A Wallace, LICSW

Social Worker, Clinical in Haverhill, Massachusetts

NPI Number1417529918
Practice location
13 Montgomery St, Haverhill, MA 01830-2121
Fax
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Last updated
July 14, 2021

Dorothy Arlene Wallace is a Social Worker, Clinical based in Haverhill, MA. Dorothy Arlene Wallace practices in Haverhill, MA and has the professional credentials of LICSW. The NPI Number for Dorothy Arlene Wallace is 1417529918 and holds a License No. 114537 (MA). The current practice location address for Dorothy Arlene Wallace is 13 Montgomery St, Haverhill, MA 01830-2121 and can be reached out via phone at 978-270-4132.

Provider Profile Details

NPI Number
1417529918
Provider Name
Dorothy Arlene Wallace
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
13 Montgomery St, Haverhill, MA 01830-2121
Phone Number
978-270-4132
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 14, 2021
Last Update Date
July 14, 2021
Certification Date
July 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Montgomery St
Haverhill, MA 01830-2121
Zip
01830-2121
Phone Number
978-270-4132
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
35 S Pioneer St
North Fort Myers, FL 33917-2617
City
North Fort Myers
State
FL
Zip
33917-2617
Phone Number
978-270-4132

License Information

License Number
114537
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Dorothy A Wallace, LICSW?

The NPI number of Mrs. Dorothy A Wallace, LICSW is 1417529918. It was assigned on July 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Dorothy A Wallace, LICSW?

Mrs. Dorothy A Wallace, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114537.

Where does Mrs. Dorothy A Wallace, LICSW practice?

The practice location is 13 Montgomery St, Haverhill, MA 01830-2121. The office can be reached at 978-270-4132 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417529918 directly on the NPPES registry website.

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