IndividualActive
Jakeyla Wallace
NPI 1487470795 · Clinical Social Worker · Concord, NC
Jakeyla Wallace is a Clinical Social Worker provider in Concord, NC (NPI 1487470795).
Provider details
- NPI number
- 1487470795
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 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
83% 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
920 Church St N
Concord, NC 28025-2927
Phone: (704) 403-4004
Street-level locationGet directions
Mailing address
6218 Ginkgo Ln
Charlotte, NC 28215-7146
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2024-12-02
- Certified
- 2024-12-02
Frequently asked questions
- What is Jakeyla Wallace's NPI number?
- Jakeyla Wallace's National Provider Identifier (NPI) is 1487470795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jakeyla Wallace's specialty?
- Jakeyla Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jakeyla Wallace located?
- Jakeyla Wallace's practice location on file with NPPES is 920 Church St N, Concord, NC 28025-2927.
- What is Jakeyla Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jakeyla Wallace is (704) 403-4004.
- Is Jakeyla Wallace's NPI active?
- Yes — Jakeyla Wallace's NPI (1487470795) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.