MRS. SHANNON MCNALLY WALLACE (NPI# 1326290982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326290982 |
Entity Type | Individual |
Full Name | MRS. SHANNON MCNALLY WALLACE |
Credential | MSW, LCSW, LCAS |
Practice Address |
3010 Falstaff Rd Raleigh NC 27610-1813 |
Practice Telephone | (919) 445-0283 |
Practice Fax Number | 9194450405 |
Mailing Telephone | (919) 445-0283 |
Mailing Fax Number | 9194450405 |
Enumeration Date | 2008-10-15 |
Last Update Date | 2017-06-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | C006865 | NC | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
C006865 | NC | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
P004562 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6007780 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588142574 | Shannon Wallace | Specialist | 8777 254th St, Bellerose, NY 11426-2329 | 2018-08-01 |
1891223293 | Shannon May Wallace | Nurse Practitioner | 700 Childrens Dr Fl Hall1, Columbus, OH 43205-2664 | 2017-05-30 |
1538609847 | Shannon Wallace | Behavior Technician | 841 Hughes Ln, Highlands Ranch, CO 80126-4746 | 2017-03-06 |
1750757340 | Shannon Wallace | Home Health Aide | 636 Candyce Ave, Lakeland, FL 33815-1202 | 2015-08-18 |
1205102092 | Shannon Leigh Wallace | Obstetrics & Gynecology | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-1705 | 2012-03-27 |
1730328840 | Shannon D Wallace | Behavioral Analyst | 3954 Murphy Canyon Rd, Suite D105, San Diego, CA 92123-4418 | 2009-02-12 |
1437707452 | Shannon Wallace | Physical Therapy Assistant | 3108 Circle Dr, White Pine, TN 37890-3306 | 2019-09-03 |
1598103111 | Shannon R Wallace | Physician Assistant | 5818 D Harbour View Blvd, Suite 150, Suffolk, VA 23435-3327 | 2013-06-05 |
1851481584 | Shannon L Wallace | Nurse Practitioner | 1001 W 10th St, Er/uvc, Indianapolis, IN 46202-2859 | 2006-10-13 |
Street Address |
3010 FALSTAFF RD |
City | RALEIGH |
State | NC |
Zip Code | 27610-1813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609854124 | Mauverine Jo Hall | Family Medicine | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2006-01-04 |
1396374203 | Elizabeth Ellen Cross | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-04-02 |
1447886106 | Rebecca Williams | Counselor | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-03-13 |
1871069831 | Natalie Francesca Flora | Counselor | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2018-10-17 |
1427575869 | Healthworks Med Group of North Carolina P C | Clinic/Center | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2017-08-25 |
1174077762 | Mh Medical Services, PC | Nurse Practitioner | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2016-08-11 |
1316307077 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2016-02-24 |
1699142901 | Tamara Wertz Wilson | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2015-08-24 |
1811376726 | Sara Elizabeth Wilder | Counselor | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2015-05-26 |
1154762524 | Fellowship Health Resources, Inc | Clinic/Center | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2013-07-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
Find all providers in zip 27610 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
1659906758 | Cecily Poole | Social Worker | 7224 Laurelshire Dr, Raleigh, NC 27616-8211 | 2020-03-09 |
1871130468 | Aubrea Ageda | Social Worker | 1405 Springshire Ct, Raleigh, NC 27610-2562 | 2019-12-03 |
1437704822 | Adrienne Latrice Eure | Social Worker | 7611 Breezy Point Ln Apt 103, Raleigh, NC 27617-6793 | 2019-08-02 |
1992362073 | Natasha St. Fort | Social Worker | 6611 Lake Hill Dr Apt K, Raleigh, NC 27609-3494 | 2019-05-23 |
1245708155 | Alyssa Kadrmas | Social Worker | 7785 St. Gertrude St, Raleigh, ND 58564 | 2018-11-08 |
1144714585 | Shannon Larance | Social Worker | 5113 Six Point Trl, Raleigh, NC 27616-6231 | 2018-06-19 |
1891217469 | Ariel Jade Harris | Social Worker | 205 C Farrington Dr., Raleigh, NC 27615 | 2017-07-14 |
1134596588 | Neida Rodrigues | Social Worker | 10313 Old Stage Rd, Raleigh, NC 27603-9571 | 2015-09-01 |
1033586771 | Kathryn Davis | Social Worker | 4361 Furman Hall Apt 203, Raleigh, NC 27612-4178 | 2015-08-28 |
Find all providers in RALEIGH |
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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.