IndividualActive
Jennifer Wallace, MSW, LSW
NPI 1679983449 · Mental Health Counselor · Fleetwood, PA
Provider details
- NPI number
- 1679983449
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MSW, LSW
- Sex
- Female
- Sole proprietor
- No
- License
- SW126587 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1 W Main St
Fleetwood, PA 19522-1323
Phone: (610) 944-0445
Fax: (610) 944-8834
Street-level locationGet directions
Mailing address
555 Ridge Rd
Orwigsburg, PA 17961-2217
Registry dates
- Enumerated
- 2014-05-02
- Last updated
- 2014-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.