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Shatavea Wallace
NPI 1144196833 · Counselor · Glassboro, NJ
Shatavea Wallace is a Counselor provider in Glassboro, NJ (NPI 1144196833).
Provider details
- NPI number
- 1144196833
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone: (844) 422-3632
Street-level locationGet directions
Mailing address
249 Fir Tree Ct
Evesham, NJ 08053-2010
Registry dates
- Enumerated
- 2025-10-11
- Last updated
- 2025-10-11
- Certified
- 2025-10-11
Frequently asked questions
- What is Shatavea Wallace's NPI number?
- Shatavea Wallace's National Provider Identifier (NPI) is 1144196833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shatavea Wallace's specialty?
- Shatavea Wallace is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Shatavea Wallace located?
- Shatavea Wallace's practice location on file with NPPES is 42 Delsea Dr S, Glassboro, NJ 08028-2621.
- What is Shatavea Wallace's phone number?
- The practice phone number listed in the NPPES registry for Shatavea Wallace is (844) 422-3632.
- Is Shatavea Wallace's NPI active?
- Yes — Shatavea Wallace's NPI (1144196833) is active in the NPPES registry as of the last update on 2025-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.