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Provider Profile

Jeffrey E. Wallace, LICSW, MSW, CDP, MHP

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Where to find Jeffrey E. Wallace, LICSW, MSW, CDP, MHP

About Jeffrey Wallace

Jeffrey E. Wallace, LICSW, MSW, CDP, MHP is a mental health counselor based in Spokane, WA. Jeffrey is also listed as specializing in addiction & substance abuse counselor and clinical social worker. The provider's National Provider Identifier (NPI) is 1538557012.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2014

Specialty

Credentials & Licensing

WA licenceAs reported to the NPI registry
No. CO60490069As reported
WA licenceAs reported to the NPI registry
No. SC60493319As reported
NPINational Provider Identifier
1538557012Issued 2015

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jeffrey E. Wallace, LICSW, MSW, CDP specialize in?

Jeffrey E. Wallace, LICSW, MSW, CDP is a mental health counselor in Spokane, WA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jeffrey E. Wallace, LICSW, MSW, CDP located?

Jeffrey E. Wallace, LICSW, MSW, CDP is listed at 400 S Jefferson St Ste 200, Spokane, WA 99204. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jeffrey E. Wallace, LICSW, MSW, CDP's phone number?

The number on file is (509) 822-8662. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jeffrey E. Wallace, LICSW, MSW, CDP's NPI number?

Jeffrey E. Wallace, LICSW, MSW, CDP's National Provider Identifier is 1538557012. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jeffrey E. Wallace, LICSW, MSW, CDP train?

Jeffrey E. Wallace, LICSW, MSW, CDP attended Other, graduating in 2014. This comes from the CMS National Downloadable File.

CMS public data

How long has Jeffrey E. Wallace, LICSW, MSW, CDP been practicing?

Jeffrey E. Wallace, LICSW, MSW, CDP has 12 years experience. Calculated from a graduation year of 2014, reported in the CMS National Downloadable File.

CMS public data

Has Jeffrey E. Wallace, LICSW, MSW, CDP confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jeffrey E. Wallace, LICSW, MSW, CDP. If this is you, claiming it is free.

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