What is John Wallace's NPI number?

John Wallace's National Provider Identifier (NPI) is 1063652097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is John Wallace's specialty?

John Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is John Wallace located?

John Wallace's practice location on file with NPPES is 1111 E End Blvd, Wilkes Barre, PA 18711-0030.

What is John Wallace's phone number?

The practice phone number listed in the NPPES registry for John Wallace is (570) 824-3521.

Is John Wallace's NPI active?

Yes — John Wallace's NPI (1063652097) is active in the NPPES registry as of the last update on 2009-03-04.

IndividualActive

John Wallace, LCSW

NPI 1063652097 · Clinical Social Worker · Wilkes Barre, PA

John Wallace, LCSW is a Clinical Social Worker provider in Wilkes Barre, PA (NPI 1063652097).

Provider details

NPI number: 1063652097
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: No
License: CW015384 (PA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense CW015384 (PA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(86/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 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

1111 E End Blvd

Wilkes Barre, PA 18711-0030

Phone: (570) 824-3521

Street-level locationGet directions

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Mailing address