Active NPIIndividual provider

Rachel Wallace, LCSW, LCADC

Counselor, Mental Health in Newton, New Jersey

NPI Number1912534363
Practice location
3 Cardinal Ln, Newton, NJ 07860-1454
Fax
—
Last updated
June 28, 2020

Rachel Wallace is a Counselor, Mental Health based in Newton, NJ. Rachel Wallace practices in Newton, NJ and has the professional credentials of LCSW, LCADC. The NPI Number for Rachel Wallace is 1912534363 and holds a License No. 37LC00177500 (NJ). The current practice location address for Rachel Wallace is 3 Cardinal Ln, Newton, NJ 07860-1454 and can be reached out via phone at 862-354-7484.

Provider Profile Details

NPI Number
1912534363
Provider Name
Rachel Wallace
Credential
LCSW, LCADC
Provider Entity Type
Individual
Gender
Female
Address
3 Cardinal Ln, Newton, NJ 07860-1454
Phone Number
862-354-7484
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2020
Last Update Date
June 28, 2020
Certification Date
June 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Cardinal Ln
Newton, NJ 07860-1454
City
Newton
Zip
07860-1454
Phone Number
862-354-7484
Newton, NJ 07860Get directions →

Provider Business Mailing Address Details

Address
Po Box 3021
Newton, NJ 07860-3021
City
Newton
State
NJ
Zip
07860-3021
Phone Number
862-354-7484

License Information

License Number (1)
37LC00177500
License State (1)
NJ
License Number (2)
44SC05158000
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · 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 Rachel Wallace, LCSW, LCADC?

The NPI number of Rachel Wallace, LCSW, LCADC is 1912534363. It was assigned on March 25, 2020 and is currently active in the NPPES registry.

What is the specialty of Rachel Wallace, LCSW, LCADC?

Rachel Wallace, LCSW, LCADC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37LC00177500.

Where does Rachel Wallace, LCSW, LCADC practice?

The practice location is 3 Cardinal Ln, Newton, NJ 07860-1454. The office can be reached at 862-354-7484 (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 1912534363 directly on the NPPES registry website.

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