MRS. SHANNON MCNALLY WALLACE


Address: 3010 Falstaff Rd, Raleigh, NC 27610-1813
Phone: (919) 445-0283

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 6007780 05

Other Providers SHANNON WALLACE

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

Office Location

Street Address 3010 FALSTAFF RD
City RALEIGH
State NC
Zip Code 27610-1813

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City RALEIGH
Zip Code 27610

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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