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Jennifer Wallace, CSW, QMHP — NPI 1174088900, Rapid City, SD | NPI Central

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NPI 1174088900

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Jennifer Wallace, CSW, QMHP

NPI 1174088900 · Social Worker · Rapid City, SD

Provider details

NPI number: 1174088900
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: CSW, QMHP
Sex: Female
Sole proprietor: No
License: 6674 (SD)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 6674 (SD)
Behavioral Health & Social Service Providers

Practice location

851 West St

Rapid City, SD 57701-2516

Phone: (605) 393-4278

Approximate (ZIP-level) locationGet directions

More SD providers

Mailing address

24100 S Rockerville Rd

Rapid City, SD 57702-7422

Additional practice locations (2)

24100 S Rockerville Rd
Rapid City, SD 57702-7422
Phone: (605) 343-5422
Fax: (605) 343-1411
5301 Hwy 16
Rapid City, SD 57701
Phone: (605) 343-4278

Registry dates

Enumerated: 2019-02-06
Last updated: 2025-09-10
Certified: 2025-09-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.