PEGGY S WALLACE


Address: 150 Cornerstone Dr, Suite 101, Cary, NC 27519-8481
Phone: 9194638426

PEGGY S WALLACE (NPI# 1811195605) 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) 1811195605
Entity Type Individual
Full Name PEGGY S WALLACE
Credential LCSW
Practice Address 150 Cornerstone Dr
Suite 101
Cary
NC 27519-8481
Mailing Address 1415 Grappenhall Dr
Apex
NC 27502-2215
Practice Telephone 9194638426
Enumeration Date 2007-07-03
Last Update Date 2007-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C004415 NC Behavioral Health & Social Service Providers

Other Providers PEGGY WALLACE

NPI Name Taxonomy Address Enumeration
1609276344 Peggy Ann Wallace Licensed Practical Nurse 7428 E Baseline Rd, Mesa, AZ 85209-4902 2014-08-29
1285930123 Peggy Lynn Wallace Nurse Practitioner 4600 N Habana Ave, Suite 15, Tampa, FL 33614-7112 2011-02-09

Office Location

Street Address 150 CORNERSTONE DR
SUITE 101
City CARY
State NC
Zip Code 27519-8481

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700253036 Valencia Mitchell Technician, Pathology 150 Cornerstone Dr, Suite 104, Cary, NC 27519-8481 2015-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478918 Select Physical Therapy Holdings, Inc. Clinic/Center 150 Wellesley Trade Ln, Cary, NC 27519 2020-08-18
1548878549 Clara Dermatology Dermatology 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 2020-07-16
1366084188 Monarch Community/Behavioral Health 740 Magalloway Drive, Cary, NC 27519 2019-10-14
1568023190 Bay Imaging Consultants Medical Group Inc Radiology 1226 Brickfield Dr., Cary, NC 27519 2019-06-25
1861974131 Tasha Ann Cadet Marriage & Family Therapist 235 Michigan Ave, Cary, NC 27519 2018-09-04
1295217628 Stacey Janette Wilson Marriage & Family Therapist 235 Michigan Avenue, Cary, NC 27519 2018-09-01
1275029720 Melissa Holt Nurse Practitioner 212 Towne Village Drive, Cary, NC 27519 2018-07-09
1912432162 Margaret Creed Thompson Behavioral Analyst 210 Tals Rock Way, Suite 3, Cary, NC 27519 2017-04-25
1154799088 Ashley Hudson Nurse Practitioner 7129 O'kelly Chapel Rd, Cary West, Cary, NC 27519 2015-09-09
1639557200 Aseem Kaul General Practice 101 Maynard Crossing Court, Chapel Hill, NC 27519 2015-05-14
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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
1801400130 Morgan Rudd Social Worker 534 Brisbane Woods Way, Cary, NC 27518-9249 2020-09-03
1568071587 Mary Lynn Marus Social Worker 117 Bathgate Ln, Cary, NC 27513-5553 2020-07-27
1215566526 Bloomed Within Pllc Social Worker 964 High House Rd, Cary, NC 27513-3574 2020-04-07
1639703804 Fatima Funderburk Social Worker 1038 Alston Village Ln, Cary, NC 27519-1870 2020-02-26
1235692187 Haley Dawn Moore Social Worker 900 Maroubra Loop Apt 8207, Cary, NC 27513-8850 2019-04-08
1861950230 Lynn Rosan Morris Social Worker 211 Cranborne Ln, Cary, NC 27519-5917 2019-03-05
1497231393 Hayat Shawwa Social Worker 5232 Koster Hill Pl, Cary, NC 27518-9270 2018-07-13
1396233532 Alexis Gunipero Bunt Social Worker 547 Keisler Dr Ste 202, Cary, NC 27518-9309 2018-04-24
1306359740 Jenique Taylor Social Worker 117 Mint Hill Dr, Cary, NC 27519-6930 2017-11-07
1326558933 Nehal Outlaw Social Worker 124 Fox Briar Ln, Cary, NC 27518-8304 2017-10-09
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Competitor

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City CARY
Zip Code 27519

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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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