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Evan Wallace, LMSW
NPI 1770329583 · Clinical Social Worker · Hannibal, MO
Evan Wallace, LMSW is a Clinical Social Worker provider in Hannibal, MO (NPI 1770329583).
Provider details
- NPI number
- 1770329583
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2024022765 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
154 Forrest Dr
Hannibal, MO 63401-5511
Phone: (573) 221-2120
Fax: (573) 221-4380
Approximate (ZIP-level) locationGet directions
Mailing address
154 Forrest Dr
Hannibal, MO 63401-5511
Registry dates
- Enumerated
- 2024-07-02
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Frequently asked questions
- What is Evan Wallace's NPI number?
- Evan Wallace's National Provider Identifier (NPI) is 1770329583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Wallace's specialty?
- Evan Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Evan Wallace located?
- Evan Wallace's practice location on file with NPPES is 154 Forrest Dr, Hannibal, MO 63401-5511.
- What is Evan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Evan Wallace is (573) 221-2120.
- Is Evan Wallace's NPI active?
- Yes — Evan Wallace's NPI (1770329583) is active in the NPPES registry as of the last update on 2024-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.