MEGHAN ELIZABETH WALLACE


Address: 1305 Lyell Avenue, Rochester, NY 14606
Phone: 5854584200

MEGHAN ELIZABETH WALLACE (NPI# 1275031171) 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) 1275031171
Entity Type Individual
Full Name MEGHAN ELIZABETH WALLACE
Credential LMSW
Practice Address 1305 Lyell Avenue
Rochester
NY 14606
Mailing Address 1305 Lyell Ave
Rochester
NY 14606-2119
Practice Telephone 5854584200
Practice Fax Number 5852770102
Enumeration Date 2018-01-25
Last Update Date 2018-01-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 101863 NY Behavioral Health & Social Service Providers
Y 1041S0200X Social Worker
Specialization: School
Behavioral Health & Social Service Providers

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Office Location

Street Address 1305 LYELL AVENUE
City ROCHESTER
State NY
Zip Code 14606

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047686 Katherine Anne Blakely Social Worker 100 Pinewild Drive, Second Floor Suite A, Rochester, NY 14606 2020-03-04
1023501855 Diana Moskalyuk Registered Nurse 57 Gates Manor Dr, Rochester, NY 14606 2018-06-06
1245732221 Daphne Bell Driver 79 Curlew St., Rochester, NY 14606 2018-03-06
1114277860 Debra A Bucklaew Registered Nurse 57 Baier Dr, Rochester, NY 14606 2012-09-10
1427327998 Charita Y Murray Licensed Practical Nurse 48 Rogers Ave., Rochester, NY 14606 2011-12-29
1649556804 Jamila Kali Miller Family Medicine 110 Canton St, Rochester, NY 14606 2011-11-01
1720375447 Jasmine Marie Radcliff Licensed Practical Nurse 34 Ardella St, Rochester, NY 14606 2011-07-01
1104110766 Ashly Jasmine Goodwill Licensed Practical Nurse 16 Glasser St, Rochester, NY 14606 2011-06-01
1497067359 Shahada D Ware Licensed Practical Nurse 222 Mcnaughton St., Rochester, NY 14606 2010-07-08
1669619771 Wanda Jean Rust Licensed Practical Nurse 15 Lyeelwood Pkwy Apt B, Rochester, NY 14606 2009-01-12
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215287925 Deborah Ann Felton Social Worker 940 Fernwood Park, Rochester, NY 14609-2639 2012-09-11
1972876167 Diane Marie Alexander Social Worker 131 West Broad Street, Rcsd, Rochester, NY 14614 2012-02-17
1881971059 Vernetta Brown Social Worker 256 Adams St, Rochester, NY 14608-2334 2011-11-15
1962788539 Michelle C. Garcia Social Worker 60 Coventry Ave, Rochester, NY 14610-1025 2011-10-27
1619252012 Marie Fern Bellanti Social Worker 85 St. Jacob Street, Rochester, NY 14621 2011-10-17
1154606770 Jini S N Figueroa Social Worker 337 Empire Blvd, Rochester, NY 14609-4457 2011-10-14
1023393931 Ann C Miraglia Social Worker 7 Donlin Dr, Rochester, NY 14624-1902 2011-10-12
1366726598 Mary Sassone Social Worker 17 Cross Bow Dr, Rochester, NY 14624-4709 2011-10-06
1386928570 Ana Paola Machuca Social Worker 2786 Ridgeway Ave, Rochester, NY 14626-4211 2011-10-05
1194035410 Marc J Bigsby Social Worker 150 Colebrook Dr, Rochester, NY 14617-2216 2010-10-20
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Competitor

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City ROCHESTER
Zip Code 14606

Improve Information

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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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