IndividualActive
Priscilla Wallace
NPI 1962843417 · Clinical Social Worker · Detroit, MI
Priscilla Wallace is a Clinical Social Worker provider in Detroit, MI (NPI 1962843417).
Provider details
- NPI number
- 1962843417
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6802086262 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 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
2051 W Grand Blvd
Detroit, MI 48208-1105
Phone: (313) 961-3200
Street-level locationGet directions
Mailing address
2051 W Grand Blvd
Detroit, MI 48208-1105
Registry dates
- Enumerated
- 2013-07-12
- Last updated
- 2013-07-12
Frequently asked questions
- What is Priscilla Wallace's NPI number?
- Priscilla Wallace's National Provider Identifier (NPI) is 1962843417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priscilla Wallace's specialty?
- Priscilla Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Priscilla Wallace located?
- Priscilla Wallace's practice location on file with NPPES is 2051 W Grand Blvd, Detroit, MI 48208-1105.
- What is Priscilla Wallace's phone number?
- The practice phone number listed in the NPPES registry for Priscilla Wallace is (313) 961-3200.
- Is Priscilla Wallace's NPI active?
- Yes — Priscilla Wallace's NPI (1962843417) is active in the NPPES registry as of the last update on 2013-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.