Jerron Wallace, LMSW
NPI 1033589247 · Addiction (Substance Use Disorder) Counselor · Albuquerque, NM
Jerron Wallace, LMSW is a Addiction (Substance Use Disorder) Counselor provider in Albuquerque, NM (NPI 1033589247).
Provider details
- NPI number
- 1033589247
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- X-09336 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-09-30
- Last updated
- 2017-01-19
Frequently asked questions
- What is Jerron Wallace's NPI number?
- Jerron Wallace's National Provider Identifier (NPI) is 1033589247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerron Wallace's specialty?
- Jerron Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jerron Wallace located?
- Jerron Wallace's practice location on file with NPPES is 912 1st St Nw, Albuquerque, NM 87102-2355.
- What is Jerron Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jerron Wallace is (505) 224-9777.
- Is Jerron Wallace's NPI active?
- Yes — Jerron Wallace's NPI (1033589247) is active in the NPPES registry as of the last update on 2017-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.