SCOTT D WALLACE


Address: 63 Glenwood St, Lowell, MA 01852-3007
Phone: 9788044068

SCOTT D WALLACE (NPI# 1184996399) 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) 1184996399
Entity Type Individual
Full Name SCOTT D WALLACE
Practice Address 63 Glenwood St
Lowell
MA 01852-3007
Practice Telephone 9788044068
Mailing Telephone 9788044068
Enumeration Date 2012-02-02
Last Update Date 2012-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
116999 MA Behavioral Health & Social Service Providers

Other Providers SCOTT WALLACE

NPI Name Taxonomy Address Enumeration
1275809899 Scott Andrew Wallace Student in an Organized Health Care Education/Training Program Navy Medicine Support Command Attn: Med Staff Services, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2012-03-28
1629139563 Scott Matthew Wallace Chiropractor 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 2006-12-13
1770655342 Scott G Wallace Chiropractor 2515 Crosby Ave, Klamath Falls, OR 97603-4553 2006-11-15
1558381822 Scott Christopher Wallace Anesthesiology Po Box 112, Muncie, IN 47308-0112 2006-07-20
1831611839 Scott Christopher Wallace Nurse Practitioner 1900 S Main St, Findlay, OH 45840-1214 2017-07-11
1104359975 Scott Robert Wallace Psychiatry & Neurology 103 N Loop 499, Harlingen, TX 78550-2557 2017-04-07
1922441880 Scott Michael Wallace Pediatrics 75 Pringle Way, Ste 300, Reno, NV 89502-1464 2013-04-10
1134414220 Scott Eric Wallace Pharmacist 1214 N Market Blvd, Suite C, Sacramento, CA 95834-2931 2011-06-16
1568755114 Scott Wallace Technician, Other 4801 Reading St, Dallas, TX 75247-6716 2011-05-16
1265613855 Scott Arthur Wallace Physician Assistant 3643 N Roxboro St, Durham Regional Hospital Emergency Department, Durham, NC 27704-2702 2007-11-25

Office Location

Street Address 63 GLENWOOD ST
City LOWELL
State MA
Zip Code 01852-3007

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881244747 Erin Elisabeth Burke Specialist/Technologist 424 Douglas Rd, Lowell, MA 01852 2019-09-12
1235799602 Osvaldo Rivera Social Worker 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 2019-06-18
1003393620 Erin Maureen Hurley Social Worker 34 Newhall Street #204, Lowell, MA 01852 2018-07-26
1699273540 Laura Ardila Registered Nurse 10 Linden St, Lowell, MA 01852 2018-01-25
1285153692 Ashley Holmes Counselor 77 E Merrimack Street, Lowell, MA 01852 2017-09-18
1932627155 Veronica H Birungi Registered Nurse 257 West Manchester Street, Lowell, MA 01852 2017-09-08
1255859245 Kalyn Lee O'brien Counselor 77 E Merrimack St., Lowell, MA 01852 2017-08-30
1912424920 Danielle Dirton Behavior Technician 106 Lundberg St. Unit 10, Lowell, MA 01852 2017-08-30
1770007072 Leena Chann Registered Nurse 166 Central St., Lowell, MA 01852 2017-07-28
1942724257 Stephanie Catherine Joubert Registered Nurse 166 Central Street, Lowell, MA 01852 2017-07-28
Find all providers in zip 01852

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710513213 Kathryn A Heggen Social Worker 3203 Timpson Ave Se, Lowell, MI 49331-9556 2020-03-16
1104383397 Darcie Elizabeth Coleman Social Worker 21 Carter St, Lowell, MA 01852-4609 2019-02-25
1437616885 Kadeen Healy Social Worker 1140 Gorham St, Lowell, MA 01852-5019 2019-02-21
1477038255 Sarah Laflamme Social Worker 144 Merrimack St Ste 102, Lowell, MA 01852-1725 2018-09-27
1699257022 Jennifer Walsh Favreau Social Worker 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 2018-09-01
1033691522 Gina A Martel Social Worker 40 Paige St, Lowell, MA 01852-1121 2018-08-31
1801378344 Amy Ellentuck Social Worker 50 Fr Morissette Blvd, Lowell, MA 01852-1037 2018-08-31
1821575390 Stephanie Burke Social Worker 33 E Merrimack St, Lowell, MA 01852-1204 2018-07-26
1003393620 Erin Maureen Hurley Social Worker 34 Newhall Street #204, Lowell, MA 01852 2018-07-26
1477047041 Janice Hrabovszky Social Worker 370 Jackson St, Lowell, MA 01852-2181 2018-06-18
Find all providers in LOWELL

Competitor

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City LOWELL
Zip Code 01852

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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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