IndividualActive
Mykala Wallace, LMSW
NPI 1083297774 · Social Worker · Fayetteville, AR
Mykala Wallace, LMSW is a Social Worker provider in Fayetteville, AR (NPI 1083297774).
Provider details
- NPI number
- 1083297774
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 10102-M (AR)
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
885 W Clydesdale Dr
Fayetteville, AR 72701-8209
Phone: (479) 444-1670
Fax: (479) 445-6903
Street-level locationGet directions
Mailing address
885 W Clydesdale Dr
Fayetteville, AR 72701-8209
Registry dates
- Enumerated
- 2021-04-30
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Frequently asked questions
- What is Mykala Wallace's NPI number?
- Mykala Wallace's National Provider Identifier (NPI) is 1083297774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mykala Wallace's specialty?
- Mykala Wallace is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Mykala Wallace located?
- Mykala Wallace's practice location on file with NPPES is 885 W Clydesdale Dr, Fayetteville, AR 72701-8209.
- What is Mykala Wallace's phone number?
- The practice phone number listed in the NPPES registry for Mykala Wallace is (479) 444-1670.
- Is Mykala Wallace's NPI active?
- Yes — Mykala Wallace's NPI (1083297774) is active in the NPPES registry as of the last update on 2021-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.