PAULA RENEE WALLACE (NPI# 1881248631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881248631 |
| Entity Type | Individual |
| Full Name | PAULA RENEE WALLACE |
| Credential | BSW |
| Practice Address |
511 8th St Clarksville TN 37040-3093 |
| Practice Telephone | 9319207200 |
| Mailing Telephone | 9319207200 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689698490 | Paula M. Wallace | Physician Assistant | 212 Walnut St, Ste 110, Monroe, LA 71201-6707 | 2006-07-26 |
| 1902078033 | Paula J Wallace | Counselor | 1250 15th St W, Suite 201, Billings, MT 59102-4155 | 2008-03-28 |
| Street Address |
511 8TH ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456313 | Daniel S Javier | Psychiatry & Neurology | 511 8th St, Clarksville, TN 37040-3093 | 2006-02-13 |
| 1629681754 | Raven Shiraef-green | Case Manager/Care Coordinator | 511 8th St, Clarksville, TN 37040-3093 | 2020-08-28 |
| 1700496650 | Shawn Hunt | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-08-05 |
| 1962026765 | Haley N Crider | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2020-06-08 |
| 1447885728 | Taylor Marie Robertson | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2020-03-07 |
| 1477187524 | Christopher Michael Egan | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-02-27 |
| 1972143964 | Danielle Renee Drew | Counselor | 511 8th St, Clarksville, TN 37040-3093 | 2020-01-08 |
| 1710529136 | Stacy Dycus | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2019-10-17 |
| 1285286948 | Amanda Black | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2019-07-12 |
| 1689230021 | Willie Pringle | Peer Specialist | 511 8th St, Clarksville, TN 37040-3093 | 2019-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328080 | Mark Scharnhorst | Social Worker | 1989 Madison St Ste 222, Clarksville, TN 37043-5067 | 2020-08-28 |
| 1972142149 | Kristen Lynn Watson | Social Worker | 235 Dunbar Cave Rd Ste D, Clarksville, TN 37043-8829 | 2020-01-05 |
| 1235690959 | Wanda Anita Allen | Social Worker | 1700 Autumnwood Blvd, Clarksville, TN 37042-1704 | 2019-03-26 |
| 1851868830 | Phylicia Alexander | Social Worker | 636 Gardendale Ln, Clarksville, TN 37040-5631 | 2018-10-29 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1740771237 | Tawanna Ivey | Social Worker | 128 N 2nd St Ste 202, Clarksville, TN 37040-6460 | 2018-05-21 |
| 1588169676 | Ashley Yeager | Social Worker | 830 Peachers Mill Rd Apt M150, Clarksville, TN 37042-8448 | 2018-03-29 |
| 1902319205 | Louanna Rae Castellano | Social Worker | 1392 Constitution Dr, Clarksville, TN 37042-7681 | 2017-11-08 |
| 1982084331 | Donald Mccasland | Social Worker | 775a Weatherly Dr, Clarksville, TN 37043-8942 | 2015-06-01 |
| 1043646342 | Megan Sue Hay | Social Worker | 1780 Butternut Dr, Clarksville, TN 37042-4573 | 2013-09-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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| 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.