IndividualActive
Dashiya Wallace
NPI 1073191557 · Clinical Social Worker · Philadelphia, PA
Dashiya Wallace is a Clinical Social Worker provider in Philadelphia, PA (NPI 1073191557).
Provider details
- NPI number
- 1073191557
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SW136536 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4812 Baltimore Ave
Philadelphia, PA 19143-3419
Phone: (215) 563-7863
Street-level locationGet directions
Mailing address
4812 Baltimore Ave
Philadelphia, PA 19143-3419
Registry dates
- Enumerated
- 2021-03-29
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Frequently asked questions
- What is Dashiya Wallace's NPI number?
- Dashiya Wallace's National Provider Identifier (NPI) is 1073191557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dashiya Wallace's specialty?
- Dashiya Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dashiya Wallace located?
- Dashiya Wallace's practice location on file with NPPES is 4812 Baltimore Ave, Philadelphia, PA 19143-3419.
- What is Dashiya Wallace's phone number?
- The practice phone number listed in the NPPES registry for Dashiya Wallace is (215) 563-7863.
- Is Dashiya Wallace's NPI active?
- Yes — Dashiya Wallace's NPI (1073191557) is active in the NPPES registry as of the last update on 2021-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.