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Provider Profile

Ty L. Wallace, MSW

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At a glance

About Ty Wallace

Ty L. Wallace, MSW is a clinical social worker based in Pinckneyville, IL. The provider's National Provider Identifier (NPI) is 1295257624.

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

Specialty

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 149-010121As reported
NPINational Provider Identifier
1295257624Issued 2017

As reported to the NPI registry ↗

Common questions

What does Ty L. Wallace specialize in?

Ty L. Wallace is a clinical social worker in Pinckneyville, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Ty L. Wallace located?

Ty L. Wallace is listed at 4904 Bowls Bottom Rd, Pinckneyville, IL 62274. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Ty L. Wallace's phone number?

The number on file is (618) 926-6050. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ty L. Wallace's NPI number?

Ty L. Wallace's National Provider Identifier is 1295257624. 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

How long has Ty L. Wallace been practicing?

Ty L. Wallace has 9+ years experience. Registered with an NPI since 2017. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Ty L. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ty L. Wallace. If this is you, claiming it is free.

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