What is Kanisha Wallace's NPI number?

Kanisha Wallace's National Provider Identifier (NPI) is 1740541341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kanisha Wallace's specialty?

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

Where is Kanisha Wallace located?

Kanisha Wallace's practice location on file with NPPES is 401 W Springfield Ave, Champaign, IL 61820-4716.

What is Kanisha Wallace's phone number?

The practice phone number listed in the NPPES registry for Kanisha Wallace is (217) 398-8464.

Is Kanisha Wallace's NPI active?

Yes — Kanisha Wallace's NPI (1740541341) is active in the NPPES registry as of the last update on 2012-05-31.

IndividualActive

Kanisha Wallace

NPI 1740541341 · Social Worker · Champaign, IL

Kanisha Wallace is a Social Worker provider in Champaign, IL (NPI 1740541341).

Provider details

NPI number: 1740541341
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(73/100 index)

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

Registry tenure38% of score
14 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

401 W Springfield Ave

Champaign, IL 61820-4716

Phone: (217) 398-8464

Street-level locationGet directions

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Mailing address