What is Kelly Wallace's NPI number?

Kelly Wallace's National Provider Identifier (NPI) is 1841704467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Wallace's specialty?

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

Where is Kelly Wallace located?

Kelly Wallace's practice location on file with NPPES is 11 Mills Rd, Middletown, NY 10941-1018.

What is Kelly Wallace's phone number?

The practice phone number listed in the NPPES registry for Kelly Wallace is (845) 494-2571.

Is Kelly Wallace's NPI active?

Yes — Kelly Wallace's NPI (1841704467) is active in the NPPES registry as of the last update on 2017-11-17.

IndividualActive

Kelly Wallace, LCSW

NPI 1841704467 · Clinical Social Worker · Middletown, NY

Kelly Wallace, LCSW is a Clinical Social Worker provider in Middletown, NY (NPI 1841704467).

Provider details

NPI number: 1841704467
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Female
Sole proprietor: No
License: 085448 (NY)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 085448 (NY)
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

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

Registry tenure38% of score
8 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

11 Mills Rd

Middletown, NY 10941-1018

Phone: (845) 494-2571

Street-level locationGet directions

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Mailing address