IndividualActive
Holly Wallace, LSW
NPI 1356167563 · Social Worker · Normal, IL
Holly Wallace, LSW is a Social Worker provider in Normal, IL (NPI 1356167563).
Provider details
- NPI number
- 1356167563
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- License
- 150.114983 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1302 Franklin Ave Ste L500
Normal, IL 61761-3551
Phone: (309) 451-8888
Street-level locationGet directions
Mailing address
2000 Jacobssen Dr
Normal, IL 61761-6277
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Holly Wallace's NPI number?
- Holly Wallace's National Provider Identifier (NPI) is 1356167563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Holly Wallace's specialty?
- Holly Wallace is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Holly Wallace located?
- Holly Wallace's practice location on file with NPPES is 1302 Franklin Ave Ste L500, Normal, IL 61761-3551.
- What is Holly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Holly Wallace is (309) 451-8888.
- Is Holly Wallace's NPI active?
- Yes — Holly Wallace's NPI (1356167563) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.