Active NPIIndividual providerSole proprietor

Deborah J Carpenter Wallace, LICSW

Social Worker, Clinical in Chelmsford, Massachusetts

NPI Number1942383427
Practice location
3 Courthouse Lane Suite 3, Chelmsford, MA 01824
Fax
978-441-1773
Last updated
March 17, 2023

Deborah Jean Carpenter Wallace is a Social Worker, Clinical based in Chelmsford, MA. Deborah Jean Carpenter Wallace practices in Chelmsford, MA and has the professional credentials of LICSW. The NPI Number for Deborah Jean Carpenter Wallace is 1942383427 and holds a License No. 110823 (MA). The current practice location address for Deborah Jean Carpenter Wallace is 3 Courthouse Lane Suite 3, Chelmsford, MA 01824 and can be reached out via phone at 978-256-1444 and via fax at 978-441-1773.

Provider Profile Details

NPI Number
1942383427
Provider Name
Deborah Jean Carpenter Wallace
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
3 Courthouse Lane Suite 3, Chelmsford, MA 01824
Phone Number
978-256-1444
Fax Number
978-441-1773
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 20, 2006
Last Update Date
March 17, 2023
Certification Date
March 17, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Courthouse Lane Suite 3
Chelmsford, MA 01824
Zip
01824
Phone Number
978-256-1444
Fax Number
978-441-1773
Chelmsford, MA 01824Get directions →

Provider Business Mailing Address Details

Address
4401 Park Road 21
Cleburne, TX 76033-8561
City
Cleburne
State
TX
Zip
76033-8561
Phone Number
817-875-0144

License Information

License Number (1)
110823
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
9859-c
License State (2)
NV
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
50563
License State (3)
TX
Taxonomy (3)
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 Deborah J Carpenter Wallace, LICSW?

The NPI number of Deborah J Carpenter Wallace, LICSW is 1942383427. It was assigned on October 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Deborah J Carpenter Wallace, LICSW?

Deborah J Carpenter Wallace, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110823.

Where does Deborah J Carpenter Wallace, LICSW practice?

The practice location is 3 Courthouse Lane Suite 3, Chelmsford, MA 01824. The office can be reached at 978-256-1444 (phone) or 978-441-1773 (fax).

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 1942383427 directly on the NPPES registry website.

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