JOHN BURTON WALLACE V (NPI# 1437590973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437590973 |
| Entity Type | Individual |
| Full Name | JOHN BURTON WALLACE V |
| Credential | LCSW |
| Practice Address |
141 S 5th St Ofc East Brooklyn NY 11211 |
| Mailing Address |
1736 Oakview Rd Decatur GA 30030-4235 |
| Practice Telephone | 9173926700 |
| Mailing Telephone | 9173926700 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1736 Oakview Rd, Decatur, GA 300304235 | 9173926700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508868 | John E Wallace | Physical Therapist | 1060 Nimitzview Dr Ste 205, Cincinnati, OH 45230-4351 | 2018-05-17 |
| 1679900161 | John D Wallace | Counselor | 1455 Nw 53rd St Apt 222, Miami, FL 33142 | 2013-09-30 |
| 1346517307 | John Widtsoe Wallace | Specialist | 1091 Southport Dr, Medina, OH 44256-3019 | 2011-11-18 |
| 1225292634 | John Wallace | Anesthesiology | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2008-07-15 |
| 1629241070 | John Dean Wallace Jr. | Dentist | 9913 Mission Gorge Rd Unit 1, Santee, CA 92071-3843 | 2008-04-08 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1346379161 | John G Wallace | Psychiatry & Neurology | 17515 N Park Pl N, Shoreline, WA 98133-4803 | 2007-03-05 |
| 1841359775 | John Thomas Wallace | Chiropractor | 3314 Us Highway 431, Albertville, AL 35950 | 2006-12-06 |
| 1316038839 | John Kline Wallace | Dentist | 2501 Princess Anne St, Fredericksburg, VA 22401-3333 | 2006-09-28 |
| 1144333261 | John Henry Wallace | Dentist | 583 Moull St, Newark, OH 43055-2909 | 2006-08-15 |
| Street Address |
141 S 5TH ST OFC EAST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| 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 |
|---|---|---|---|---|
| 1760083299 | Alena Nazarova | Social Worker | 7802 Bay Pkwy, Brooklyn, NY 11214-1508 | 2020-11-02 |
| 1194325423 | Shterna Sara Duato-borenstein | Social Worker | 701 Empire Blvd Apt 1h, Brooklyn, NY 11213-5386 | 2020-10-27 |
| 1497354989 | Michelon Dorzin | Social Worker | 3404 Beverley Rd, Brooklyn, NY 11203-5014 | 2020-10-26 |
| 1285233742 | Chelsea Rissner | Social Worker | 270 9th St Fl 3, Brooklyn, NY 11215-3906 | 2020-10-25 |
| 1881292266 | Dawn Berkley-eren | Social Worker | 2930 W 5th St Apt 15h, Brooklyn, NY 11224-4838 | 2020-10-16 |
| 1790383297 | Carol Deng | Social Worker | 2480 Cropsey Ave, Brooklyn, NY 11214-6624 | 2020-10-15 |
| 1649877093 | Jillian C Bain | Social Worker | 159 20th St Fl 2, Brooklyn, NY 11232-1253 | 2020-10-07 |
| 1982201612 | Mirel Baumgarten | Social Worker | 1644 E 14th St Fl 5, Brooklyn, NY 11229-1197 | 2020-10-06 |
| 1063019958 | Jane Katherine Horowitz | Social Worker | 345 Webster Ave Apt 4x, Brooklyn, NY 11230-1438 | 2020-10-05 |
| 1922615657 | William C Parker | Social Worker | 889 Broadway Apt 2c, Brooklyn, NY 11206-5911 | 2020-09-27 |
| Find all providers in BROOKLYN | ||||
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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.