IndividualActive
Icelinn Wallace
NPI 1376778100 · Social Worker · Pontiac, MI
Icelinn Wallace is a Social Worker provider in Pontiac, MI (NPI 1376778100).
Provider details
- NPI number
- 1376778100
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 680109826 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
70 Lafayette St
Pontiac, MI 48342-2033
Phone: (248) 338-7458
Fax: (248) 338-7513
Street-level locationGet directions
Mailing address
2830 Corunna Rd
Flint, MI 48503-3254
Registry dates
- Enumerated
- 2009-05-22
- Last updated
- 2009-05-22
Frequently asked questions
- What is Icelinn Wallace's NPI number?
- Icelinn Wallace's National Provider Identifier (NPI) is 1376778100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Icelinn Wallace's specialty?
- Icelinn Wallace is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Icelinn Wallace located?
- Icelinn Wallace's practice location on file with NPPES is 70 Lafayette St, Pontiac, MI 48342-2033.
- What is Icelinn Wallace's phone number?
- The practice phone number listed in the NPPES registry for Icelinn Wallace is (248) 338-7458.
- Is Icelinn Wallace's NPI active?
- Yes — Icelinn Wallace's NPI (1376778100) is active in the NPPES registry as of the last update on 2009-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.