Jill N Wallace Lcsw PLLC
NPI 1356760037 · Social Worker · East Northport, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jill N Wallace Lcsw PLLC is a Social Worker organization in East Northport, NY (NPI 1356760037).
Provider details
- NPI number
- 1356760037
- Entity type
- Organization
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jill Wallace, Owner(516) 459-0312
- License
- R045832 (NY)
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
12 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
- 2014-04-10
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Frequently asked questions
- What is Jill N Wallace Lcsw PLLC's NPI number?
- Jill N Wallace Lcsw PLLC's National Provider Identifier (NPI) is 1356760037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jill N Wallace Lcsw PLLC?
- Jill N Wallace Lcsw PLLC is classified in the NPPES registry as Social Worker (Behavioral Health & Social Service Providers).
- Where is Jill N Wallace Lcsw PLLC located?
- Jill N Wallace Lcsw PLLC's practice location on file with NPPES is 15 Heath Ln, East Northport, NY 11731-1912.
- What is Jill N Wallace Lcsw PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jill N Wallace Lcsw PLLC is (516) 459-0312.
- Does Jill N Wallace Lcsw PLLC accept Medicare?
- Jill N Wallace Lcsw PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jill N Wallace Lcsw PLLC?
- The authorized official listed on Jill N Wallace Lcsw PLLC's NPPES record is Jill Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jill N Wallace Lcsw PLLC's NPI active?
- Yes — Jill N Wallace Lcsw PLLC's NPI (1356760037) is active in the NPPES registry as of the last update on 2024-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.