SARA JANE WALLACE (NPI# 1417278995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417278995 |
| Entity Type | Individual |
| Full Name | SARA JANE WALLACE |
| Credential | LISW-S |
| Practice Address |
6407 Austinburg Rd Ashtabula OH 44004-9306 |
| Practice Telephone | 4409981811 |
| Practice Fax Number | 4409926828 |
| Mailing Telephone | 4409981811 |
| Mailing Fax Number | 4409926828 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | I 0005152 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TAX IDENTIFICATION | 202127833 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861804320 | Sara Wallace | Psychologist | 6506 State Route 229, Marengo, OH 43334-9738 | 2014-06-02 |
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1659460087 | Sara A Wallace | Chiropractor | 17903 Roy St, Lansing, IL 60438-2327 | 2006-10-12 |
| 1750908174 | Sara Davis Wallace | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506-2851 | 2020-07-01 |
| 1447895776 | Sara Wallace | Psychologist | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-11-11 |
| 1447764030 | Sara Michelle Wallace | Case Manager/Care Coordinator | 1400 N Norma St Ste 133, Ridgecrest, CA 93555-2577 | 2017-11-19 |
| 1114464310 | Sara W Wallace | Nurse Practitioner | 950 Sanders Rd, Cumming, GA 30041-5960 | 2017-01-25 |
| 1356576185 | Sara Elizabeth Wallace | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2009-05-22 |
| 1811142557 | Sara N Wallace | Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | 2008-11-21 |
| 1619993334 | Sara Jane Wallace | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2006-07-14 |
| Street Address |
6407 AUSTINBURG RD |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| 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 |
|---|---|---|---|---|
| 1043790751 | Kathleen Ann Schmidt | Social Worker | 4632 N Ridge Rd E, Ashtabula, OH 44004-4327 | 2018-08-21 |
| 1760849749 | Christi Seth | Social Worker | 5021 State Rd, Ashtabula, OH 44004-6265 | 2016-01-22 |
| 1518027275 | Denise Ann Palma | Social Worker | 4200 Park Ave. 3rd Floor, Catholic Charities, Ashtabula, OH 44004 | 2006-12-11 |
| 1033199419 | Ellen H Jacobs | Social Worker | 145 W 46th St, Ashtabula, OH 44004-6916 | 2006-01-20 |
| 1912531617 | Samantha Dragon | Social Worker | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-03-03 |
| 1225661655 | Sydney Lynne Betonte | Social Worker | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-02-13 |
| 1063062594 | Whitney Leininger | Social Worker | 2801 C Ct, Ashtabula, OH 44004-4577 | 2019-09-17 |
| 1093298697 | Casey Wollschleger | Social Worker | 525 Lake Ave, Ashtabula, OH 44004-3261 | 2018-09-10 |
| 1508357286 | Nicole Edgell | Social Worker | 2210 S Ridge Rd E, Ashtabula, OH 44004-4459 | 2018-05-29 |
| 1790276129 | Jillian K Winklevoss | Social Worker | 2801 C Ct, Ashtabula, OH 44004-4577 | 2018-05-22 |
| Find all providers in ASHTABULA | ||||
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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.