IndividualActive
Allison Wallace, LICSW
NPI 1669155107 · Clinical Social Worker · Golden Valley, MN
Provider details
- NPI number
- 1669155107
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 26738 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7500 Olson Memorial Hwy
Golden Valley, MN 55427-4886
Phone: (651) 271-1665
Approximate (ZIP-level) locationGet directions
Mailing address
7505 Metro Blvd Ste 505
Edina, MN 55439-3018
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.