What is Kevin Wallace's NPI number?

Kevin Wallace's National Provider Identifier (NPI) is 1073207049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kevin Wallace's specialty?

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

Where is Kevin Wallace located?

Kevin Wallace's practice location on file with NPPES is 799 John St, Teaneck, NJ 07666-5333.

What is Kevin Wallace's phone number?

The practice phone number listed in the NPPES registry for Kevin Wallace is (917) 327-7162.

Is Kevin Wallace's NPI active?

Yes — Kevin Wallace's NPI (1073207049) is active in the NPPES registry as of the last update on 2023-06-05.

IndividualActive

Kevin Wallace, LMSW

NPI 1073207049 · Social Worker · Teaneck, NJ

Kevin Wallace, LMSW is a Social Worker provider in Teaneck, NJ (NPI 1073207049).

Provider details

NPI number: 1073207049
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: LMSW
Sex: Male
Sole proprietor: No
License: 095669 (NY)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 095669 (NY)
Behavioral Health & Social Service Providers

Profile Score

Established profile(58/100 index)

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

Registry tenure38% of score
3 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

799 John St

Teaneck, NJ 07666-5333

Phone: (917) 327-7162

Street-level locationGet directions

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Mailing address