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Ricky Wallace
NPI 1538455142 · Social Worker · Jacksonville, FL
Ricky Wallace is a Social Worker provider in Jacksonville, FL (NPI 1538455142).
Provider details
- NPI number
- 1538455142
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
10512 Innisbrook Drive
Jacksonville, FL 32222
Phone: (904) 534-4937
Fax: (800) 863-2339
Street-level locationGet directions
Mailing address
10512 Innisbrook Dr
Jacksonville, FL 32222-1363
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2011-06-22
Frequently asked questions
- What is Ricky Wallace's NPI number?
- Ricky Wallace's National Provider Identifier (NPI) is 1538455142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ricky Wallace's specialty?
- Ricky Wallace is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Ricky Wallace located?
- Ricky Wallace's practice location on file with NPPES is 10512 Innisbrook Drive, Jacksonville, FL 32222.
- What is Ricky Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ricky Wallace is (904) 534-4937.
- Is Ricky Wallace's NPI active?
- Yes — Ricky Wallace's NPI (1538455142) is active in the NPPES registry as of the last update on 2011-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.