IndividualActive
Walter Wallace, L.C.S.W.
NPI 1124203062 · Clinical Social Worker · Oxford, MS
Walter Wallace, L.C.S.W. is a Clinical Social Worker provider in Oxford, MS (NPI 1124203062).
Provider details
- NPI number
- 1124203062
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- No
- License
- C5978 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
152 Highway 7 S
Oxford, MS 38655-5392
Phone: (662) 234-7521
Fax: (662) 236-3071
Street-level locationGet directions
Mailing address
152 Highway 7 S
Oxford, MS 38655-5392
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2008-01-09
Frequently asked questions
- What is Walter Wallace's NPI number?
- Walter Wallace's National Provider Identifier (NPI) is 1124203062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Walter Wallace's specialty?
- Walter Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Walter Wallace located?
- Walter Wallace's practice location on file with NPPES is 152 Highway 7 S, Oxford, MS 38655-5392.
- What is Walter Wallace's phone number?
- The practice phone number listed in the NPPES registry for Walter Wallace is (662) 234-7521.
- Is Walter Wallace's NPI active?
- Yes — Walter Wallace's NPI (1124203062) is active in the NPPES registry as of the last update on 2008-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.