MS. KRISTEN SHAE WALLACE


Address: 135 W 50th St, 6th Floor, New York, NY 10020-1201
Phone: 2125829100

MS. KRISTEN SHAE WALLACE (NPI# 1104263896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104263896
Entity Type Individual
Full Name MS. KRISTEN SHAE WALLACE
Practice Address 135 W 50th St
6th Floor
New York
NY 10020-1201
Mailing Address 61 Forest Rd
Valley Stream
NY 11581-2434
Practice Telephone 2125829100
Mailing Telephone 7186793595
Enumeration Date 2013-06-04
Last Update Date 2013-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers KRISTEN WALLACE

NPI Name Taxonomy Address Enumeration
1083274864 Kristen Marie Wallace Physical Therapist 526 Central Ave, Dunkirk, NY 14048-2515 2019-06-14
1679761837 Kristen Wallace Specialist 8653 W 84th Cir, Arvada, CO 80005-2315 2007-10-11
1538297544 Kristen Wallace Occupational Therapist 5959 Corson Ave S, Seattle, WA 98108-2605 2007-03-01
1972039741 Kristen Ashley Wallace Student in an Organized Health Care Education/Training Program 100 Woods Rd, Valhalla, NY 10595-1530 2017-05-11
1679019350 Kristen Wallace Nurse Practitioner 2470 Flowood Dr, Flowood, MS 39232-9019 2017-01-18
1629227715 Kristen Wallace Case Manager/Care Coordinator 211 N 23rd St, Paragould, AR 72450-3949 2008-09-12
1659594729 Kristen Wallace Speech-Language Pathologist 61 Corporate Cir, New Castle, DE 19720-2439 2007-04-10

Office Location

Street Address 135 W 50TH ST
6TH FLOOR
City NEW YORK
State NY
Zip Code 10020-1201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306887849 Bonnie Berkowitz Counselor 135 W 50th St, 6th Floor, New York, NY 10020-1201 2006-06-08
1720689003 Lynnette Brooks Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-11-04
1982204228 Tarandeep Kaur Marriage & Family Therapist 135 W 50th St, New York, NY 10020-1201 2020-10-27
1710586458 Kirk Linwood Rooks Community/Behavioral Health 135 W 50th St, New York, NY 10020-1201 2020-10-23
1609473537 Laurie Margolin Social Worker 135 W 50th St, New York, NY 10020-1201 2020-10-05
1598362493 Tatiana Maria Javier Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-10-04
1134726292 Maritsa L Corrielus Social Worker 135 W 50th St, New York, NY 10020-1201 2020-10-01
1922614296 Michelene Reid Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-09-21
1689289092 Fariha Sattar Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-09-11
1437764164 Richard Anthony Guiga Behavioral Analyst 135 W 50th St, New York, NY 10020-1201 2020-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275146342 Lynquita Bethea Registered Nurse 135 West 550th Street, New York, NY 10020 2020-08-28
1487278107 Frances Sevilla Behavioral Analyst 135th West 50th Street, New York, NY 10020 2020-05-29
1073031258 Tania M Debarros Social Worker 135 West 50th Street, Ny, Ny 10020, New York, NY 10020 2017-09-07
1356619571 Madeline Vargas Social Worker 135 W50th Street, 6th Flr, New York, NY 10020 2011-12-02
1821374448 Takenya Tanyette Benbow Residential Treatment Facility, Emotionally Disturbed Children 135 West 50th Street 6th Floor, Jewish Board of Family and Children Services, New York, NY 10020 2011-10-27
1023325495 Clifford Williams, D.m.d., P.C. Dentist 1 Rockefeller Plaza, Suite 2229, New York, NY 10020 2010-09-08
1902081524 Jewish Board of Family and Children's Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 135 West 50th St, 6th Floor, New York, NY 10020 2008-01-02
1881727899 Kimberly Meyers Physical Therapist 1221 Avenue of The Americas 49th St, New York, NY 10020 2007-03-13
1982740445 Darlene M Carrera Social Worker 135 W 50th Street, Suite 6, New York, NY 10020 2007-01-30
1275686032 Diane J Huntley Nurse Practitioner 1221 Avenue of The Americas Rm 50073, New York, NY 10020 2007-01-18
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386245215 Vanessa Salazar Social Worker 55 E 115th St Apt 3i, New York, NY 10029-1179 2020-11-06
1295335982 Nita Batta Social Worker 225 Broadway Ste 2070, New York, NY 10007-3001 2020-10-30
1942809249 Mekala Poppy Pavlin Social Worker 275 W 96th St Apt 23e, New York, NY 10025-6269 2020-10-19
1922606748 Sally Schuss Social Worker 317 Lenox Ave Fl 5, New York, NY 10027-4453 2020-10-14
1982202685 Josephine Jung-ah Suh Social Worker 274 Madison Ave Rm 1501, New York, NY 10016-0701 2020-10-14
1871100099 Joseph Robert Hudson Social Worker 161 E 25th St Apt 2b, New York, NY 10010-2329 2020-09-30
1710594981 Barbra Teater Social Worker 400 W 46th St Apt 3a, New York, NY 10036-9093 2020-09-30
1285241059 Rachel Easterly Social Worker 255 W 23rd St # 2e, New York, NY 10011-2312 2020-09-25
1760098545 Meriyen Nohemi Marquez Guerra Social Worker 120 E 123rd St Apt 4a, New York, NY 10035-1926 2020-09-17
1174138119 Cassidy M Kahn Social Worker 340 E 93rd St Apt 29i, New York, NY 10128-5556 2020-09-15
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Competitor

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City NEW YORK
Zip Code 10020

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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