Ty Wallace, MSW
NPI 1295257624 · Clinical Social Worker · Pinckneyville, IL
Ty Wallace, MSW is a Clinical Social Worker provider in Pinckneyville, IL (NPI 1295257624).
Provider details
- NPI number
- 1295257624
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149-010121 (IL)
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
8 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
- 2017-07-07
- Last updated
- 2022-07-21
Frequently asked questions
- What is Ty Wallace's NPI number?
- Ty Wallace's National Provider Identifier (NPI) is 1295257624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ty Wallace's specialty?
- Ty Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ty Wallace located?
- Ty Wallace's practice location on file with NPPES is 4904 Bowls Bottom Rd, Pinckneyville, IL 62274-2453.
- What is Ty Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ty Wallace is (618) 926-6050.
- Is Ty Wallace's NPI active?
- Yes — Ty Wallace's NPI (1295257624) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.