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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669070694 | Meghan Joan Wallace | Nurse Practitioner | 555 E Cheves St, Florence, SC 29506-2617 | 2020-10-12 |
1194171579 | Meghan Elizabeth Wallace | Nurse Practitioner | 730 Se Oak St, Suite D, Hillsboro, OR 97123-4245 | 2016-05-04 |
1841607470 | Meghan Wallace | Developmental Therapist | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2014-07-15 |
1639445422 | Meghan Wallace | Occupational Therapist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2012-03-27 |
Street Address |
1305 LYELL AVENUE |
City | ROCHESTER |
State | NY |
Zip Code | 14606 |
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 |
Find all providers in zip 14606 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
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 |
Find all providers in ROCHESTER |
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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.