IndividualActive
Andrew Wallace, LCSW
NPI 1295433167 · Clinical Social Worker · Canton, GA
Andrew Wallace, LCSW is a Clinical Social Worker provider in Canton, GA (NPI 1295433167).
Provider details
- NPI number
- 1295433167
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- CSW008417 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
191 Lamar Haley Pkwy
Canton, GA 30114-8019
Phone: (770) 704-1600
Street-level locationGet directions
Mailing address
1193 Wade Green Cir Nw
Acworth, GA 30102-3491
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Frequently asked questions
- What is Andrew Wallace's NPI number?
- Andrew Wallace's National Provider Identifier (NPI) is 1295433167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Wallace's specialty?
- Andrew Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Andrew Wallace located?
- Andrew Wallace's practice location on file with NPPES is 191 Lamar Haley Pkwy, Canton, GA 30114-8019.
- What is Andrew Wallace's phone number?
- The practice phone number listed in the NPPES registry for Andrew Wallace is (770) 704-1600.
- Is Andrew Wallace's NPI active?
- Yes — Andrew Wallace's NPI (1295433167) is active in the NPPES registry as of the last update on 2023-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.