What is Jessica Wallace's NPI number?

Jessica Wallace's National Provider Identifier (NPI) is 1649751801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jessica Wallace's specialty?

Jessica Wallace is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Jessica Wallace located?

Jessica Wallace's practice location on file with NPPES is 75 Grand Ave, Massapequa, NY 11758-4905.

What is Jessica Wallace's phone number?

The practice phone number listed in the NPPES registry for Jessica Wallace is (516) 799-3203.

Is Jessica Wallace's NPI active?

Yes — Jessica Wallace's NPI (1649751801) is active in the NPPES registry as of the last update on 2025-04-14.

IndividualActive

Jessica Wallace, LMSW

NPI 1649751801 · Social Worker · Massapequa, NY

Jessica Wallace, LMSW is a Social Worker provider in Massapequa, NY (NPI 1649751801).

Provider details

NPI number: 1649751801
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: LMSW
Sex: Female
Sole proprietor: Yes
License: 117144 (NY)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 117144 (NY)
Behavioral Health & Social Service Providers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 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

75 Grand Ave

Massapequa, NY 11758-4905

Phone: (516) 799-3203

Street-level locationGet directions

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Mailing address