Charles Wallace, CASAC-T
NPI 1780125203 · Addiction (Substance Use Disorder) Counselor · New York, NY
Charles Wallace, CASAC-T is a Addiction (Substance Use Disorder) Counselor provider in New York, NY (NPI 1780125203).
Provider details
- NPI number
- 1780125203
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CASAC-T
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2017-03-16
- Last updated
- 2017-03-16
Frequently asked questions
- What is Charles Wallace's NPI number?
- Charles Wallace's National Provider Identifier (NPI) is 1780125203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Wallace's specialty?
- Charles Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Charles Wallace located?
- Charles Wallace's practice location on file with NPPES is 55 W 125th St Fl 11, New York, NY 10027-4516.
- What is Charles Wallace's phone number?
- The practice phone number listed in the NPPES registry for Charles Wallace is (212) 864-4128.
- Is Charles Wallace's NPI active?
- Yes — Charles Wallace's NPI (1780125203) is active in the NPPES registry as of the last update on 2017-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.