MRS. AJA WALLACE (NPI# 1346699576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346699576 |
| Entity Type | Individual |
| Full Name | MRS. AJA WALLACE |
| Practice Address |
215 Maple Dr Lake City SC 29560-3931 |
| Practice Telephone | 8439391363 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173761 | Aja N Wallace | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2019-06-16 |
| 1306406228 | Aja Jeanette Wallace | Counselor | 1485 Linapuni St, Honolulu, HI 96819-3575 | 2019-06-13 |
| Street Address |
215 MAPLE DR |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| 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 |
|---|---|---|---|---|
| 1497221766 | Micah Jean Beckman | Social Worker | 6180 W Sanborn Rd, Lake City, MI 49651-8848 | 2018-10-15 |
| 1134529746 | Bridgenett Wilson | Social Worker | 1211 Sw Bascom Norris Dr Ste 101, Lake City, FL 32025-4916 | 2014-09-02 |
| 1639413362 | Cedar Tree Behavioral Health Services | Social Worker | 5588 Reynolds Rd, Lake City, GA 30260-3776 | 2012-11-19 |
| 1548249360 | Anton Frans Kootte | Social Worker | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2006-01-11 |
| 1518338029 | Dawn Marie Diekhoff | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2015-10-09 |
| 1972973618 | Lara Robertson | Social Worker | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-10-06 |
| 1053753848 | Shannon Charles | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2013-07-23 |
| 1588923908 | Holly N Ward | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2012-05-04 |
| 1871884478 | Christopher Hayton | Social Worker | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2011-04-29 |
| 1174756191 | Darlene Giddens Beard | Social Worker | 619 S Marion Ave, Vamc Department of Veteran Affairs, Lake City, FL 32025-5808 | 2009-08-25 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on MRS. AJA WALLACE.
| 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.