Jennifer Hataway-Wallace, LCSW
NPI 1255996617 · Clinical Social Worker · Fort Meade, SD
Jennifer Hataway-Wallace, LCSW is a Clinical Social Worker provider in Fort Meade, SD (NPI 1255996617).
Provider details
- NPI number
- 1255996617
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 3589 (SD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-05-01
Frequently asked questions
- What is Jennifer Hataway-Wallace's NPI number?
- Jennifer Hataway-Wallace's National Provider Identifier (NPI) is 1255996617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Hataway-Wallace's specialty?
- Jennifer Hataway-Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jennifer Hataway-Wallace located?
- Jennifer Hataway-Wallace's practice location on file with NPPES is 113 Comanche Rd, Fort Meade, SD 57741-1002.
- What is Jennifer Hataway-Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Hataway-Wallace is (605) 720-7422.
- Is Jennifer Hataway-Wallace's NPI active?
- Yes — Jennifer Hataway-Wallace's NPI (1255996617) is active in the NPPES registry as of the last update on 2019-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.