DYLAN WALLACE (NPI# 1982269155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982269155 |
| Entity Type | Individual |
| Full Name | DYLAN WALLACE |
| Credential | LCSW, QCSW |
| Practice Address |
1431 N 1200 W Orem UT 84057-2449 |
| Practice Telephone | 9702109643 |
| Mailing Telephone | 9702109643 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11338410-3501 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW15210 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578467 | Dylan Wallace | Pharmacist | 1106 Environ Way, Chapel Hill, NC 27517-4418 | 2020-08-13 |
| 1316569353 | Dylan Elizabeth Wallace | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-05-13 |
| Street Address |
1431 N 1200 W |
| City | OREM |
| State | UT |
| Zip Code | 84057-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508387739 | Whitney Ann Hebbert | Counselor | 1431 N 1200 W, Orem, UT 84057-2449 | 2017-06-28 |
| 1154988061 | Maadowbrook Counseling LLC | Marriage & Family Therapist | 1431 N 1200 W, Orem, UT 84057-2449 | 2019-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953642 | Taija Mecham | Social Worker | 754 S 400 E Ste 201, Orem, UT 84097-6344 | 2020-05-08 |
| 1699301754 | Julie Kristine Chacon | Social Worker | 7 Sage Dr, Orem, UT 84097-5625 | 2020-03-20 |
| 1497385728 | Kaylem Ephraim Arteaga | Social Worker | 1838 S 180 W, Orem, UT 84058-7476 | 2020-01-26 |
| 1124684709 | Meagan Lavelle Brooks | Social Worker | 36 S 400 W Ste 102, Orem, UT 84058-5359 | 2019-05-19 |
| 1053878975 | Keith Weaver | Social Worker | 314 W 1700 S, Orem, UT 84058-7542 | 2019-02-27 |
| 1154890051 | Emily Cooper | Social Worker | 835 W 400 N, Orem, UT 84057-4566 | 2018-11-20 |
| 1386119238 | Travis Cody Larsen | Social Worker | 360 S State St Ste 103, Orem, UT 84058-5745 | 2018-10-08 |
| 1417459892 | Caroline Elizabeth Conley | Social Worker | 449 N Orem Blvd, Orem, UT 84057-8813 | 2018-03-01 |
| 1619418068 | Ashliegh E Baldwin | Social Worker | 1875 S State St, Orem, UT 84097-8078 | 2017-03-18 |
| 1073060141 | Rachel Thornton | Social Worker | 276 E 950 S Ste 200, Orem, UT 84058-7054 | 2016-09-07 |
| Find all providers in OREM | ||||
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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.