Heidi Allison Wi Wallace in Walnut - Clinical
Heidi Allison Wi Wallace - NPI 1528107471
Heidi Allison Wi Wallace is a Clinical in Walnut, Illinois. Heidi Allison Wi Wallace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heidi Allison Wi Wallace is 1528107471. The last update date is 2012-11-19.
Heidi Allison Wi Wallace's current location address is 27566 1375 East St, Walnut, Illinois. You can contact this provider via phone number 8153837277 and fax number 8153792184. The mailing address for Heidi Allison Wi Wallace is 27566 1375 East St, Walnut, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heidi Allison Wi Wallace |
|---|---|
| Address | 27566 1375 East St, Walnut, Illinois |
| Phone Number | 8153837277 |
| Fax Number | 8153792184 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1528107471 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2012-11-19 |
Provider Mailing Address Detail
| Address | 27566 1375 East St |
|---|---|
| City | Walnut |
| State | Illinois (IL) |
| Post Code | 613769528 |
| Phone Number | 8153837277 |
| Fax Number | 8153792184 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149012947 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HW49060306P | IL | EARLY INTERVENTION |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Heidi Allison Wi Wallace by the Centers for Medicare & Medicaid Services?
The Heidi Allison Wi Wallace has been assigned the NPI (National Provider Identifier) 1528107471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Heidi Allison Wi Wallace located?
The Heidi Allison Wi Wallace is located at 27566 1375 East St, Walnut, IL 613769528.
What is the Heidi Allison Wi Wallace's specialty and taxonomy code?
The Heidi Allison Wi Wallace's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528107471 to Heidi Allison Wi Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1528107471 to Heidi Allison Wi Wallace on 2007-02-06.
When was the information regarding Heidi Allison Wi Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Heidi Allison Wi Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-11-19.
NPI Number: 1982607784
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