IndividualActive
Heidi Wallace, LCSW
NPI 1528107471 · Clinical Social Worker · Walnut, IL
Provider details
- NPI number
- 1528107471
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149012947 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
27566 1375 East St
Walnut, IL 61376-9528
Phone: (815) 383-7277
Fax: (815) 379-2184
Approximate (ZIP-level) locationGet directions
Mailing address
27566 1375 East St
Walnut, IL 61376-9528
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2012-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.