SARAH WALLACE (NPI# 1376011510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376011510 |
| Entity Type | Individual |
| Full Name | SARAH WALLACE |
| Credential | LMSW |
| Practice Address |
1635 Union Center Maine Hwy Ste 204 Endicott NY 13760-1340 |
| Practice Telephone | 6072053231 |
| Mailing Telephone | 6072053231 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 105181-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1760709745 | Sarah Elizabeth Wallace | Speech-Language Pathologist | 711 Forbes Avenue, 406 Fisher Hall, Pittsburgh, PA 15282 | 2010-04-29 |
| 1912451196 | Sarah Wallace | Audiologist | 1528 Common St Ste 5, New Braunfels, TX 78130-3336 | 2016-08-05 |
| 1154792513 | Sarah Elizabeth Wallace | Physician Assistant | 21258 M 68 Hwy, Onaway, MI 49765-9692 | 2015-10-12 |
| 1396114856 | Sarah Wallace | Pharmacist | 2780 Wilma Rudolph Blvd, Clarksville, TN 37040-5897 | 2015-09-15 |
| 1568850006 | Sarah Wallace | Nurse Practitioner | 390 Limit St, Leavenworth, KS 66048-4525 | 2015-01-07 |
| 1912330440 | Sarah M Wallace | Case Manager/Care Coordinator | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2013-08-20 |
| 1457660508 | Sarah Wallace | Registered Nurse | 1125 Pierce St, Sioux City, IA 51105-1485 | 2010-10-06 |
| 1144458969 | Sarah J Wallace | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2009-07-01 |
| 1982848107 | Sarah Wallace | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2009-05-01 |
| Street Address |
1635 UNION CENTER MAINE HWY STE 204 |
| City | ENDICOTT |
| State | NY |
| Zip Code | 13760-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639663768 | Brandy Lawson | Social Worker | 1635 Union Center Maine Hwy Ste 204, Endicott, NY 13760-1340 | 2018-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
| 1295231405 | Michelle Maria Kavanaugh | Technician/Technologist | 3505 Watson Blvd, Endwell, NY 13760 | 2018-04-05 |
| 1619490091 | Lynda Benson Coccia | Counselor | 1635 Union Center Highway, Endicott, NY 13760 | 2017-07-18 |
| 1780038117 | Maliha Suleman | Family Medicine | Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 | 2016-04-22 |
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1811257991 | Leslie Estelle Eldridge | Licensed Practical Nurse | 700 W. Wendell St, Endicott, NY 13760 | 2012-05-22 |
| 1801176946 | Janet M Dimaria | Physical Therapist | 712 Farm To Market Rd., Endwell, NY 13760 | 2011-08-21 |
| 1629398466 | Elaine Eagan Mcgraw | Social Worker | 715 Paden St., Endicott, NY 13760 | 2010-06-03 |
| 1447497060 | Sarah Jean Krager | Early Intervention Provider Agency | 317 North Roosevelt Avenue, Endicott, NY 13760 | 2009-01-20 |
| 1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
| Find all providers in zip 13760 | ||||
| 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 |
|---|---|---|---|---|
| 1639460090 | Maria Eliza Walenesky Medina | Social Worker | 423 Arthur Ave, Endicott, NY 13760-5527 | 2011-04-20 |
| 1689994089 | Thomas Steven Mitchell | Social Worker | 101 S Loder Ave, Endicott, NY 13760-4810 | 2010-06-08 |
| 1508076407 | Patrick S Haley | Social Worker | 212 Carl St, Endicott, NY 13760-2066 | 2007-05-22 |
| 1154875698 | Erica Danielle Mallery | Social Worker | 301 Nantucket Dr, Endicott, NY 13760-2735 | 2016-08-13 |
| 1699057620 | Susan Kermidas | Social Worker | 202 E Main St, Endicott, NY 13760-4817 | 2011-09-15 |
| 1275853442 | Georgia Anne Wimberly | Social Worker | 1200 E Main St, Endicott, NY 13760-5220 | 2010-06-10 |
| 1154641553 | Gina Marie Ferraro | Social Worker | 263 Ridgefield Rd, Endicott, NY 13760-4256 | 2010-06-08 |
| 1164581435 | Lois Koston Chojnacki | Social Worker | 202 East Main St, Endicott, NY 13760 | 2006-12-06 |
| 1407924020 | Margaret Hanson | Social Worker | 202 E Main Street, Endicott, NY 13760 | 2006-12-01 |
| 1568532554 | Janette Granholm Prentice | Social Worker | 202 E Main St, Endicott, NY 13760 | 2006-11-08 |
| Find all providers in ENDICOTT | ||||
Please comment or provide details below to improve the information on SARAH 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.