HEIDI ALLISON WILKEN WALLACE (NPI# 1528107471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528107471 |
| Entity Type | Individual |
| Full Name | HEIDI ALLISON WILKEN WALLACE |
| Other Name | HEIDI ALLISON WILKEN |
| Credential | LCSW |
| Practice Address |
27566 1375 East St Walnut IL 61376-9528 |
| Practice Telephone | 8153837277 |
| Practice Fax Number | 8153792184 |
| Mailing Telephone | 8153837277 |
| Mailing Fax Number | 8153792184 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149012947 | IL | Behavioral Health & Social Service Providers |
| N | 222Q00000X | Developmental Therapist | HW49060306P | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | EARLY INTERVENTION | HW49060306P | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871087106 | Heidi Marie Wallace | Nurse's Aide | 501 Adesa Blvd Ste A150, Lenoir City, TN 37771-6719 | 2018-06-20 |
| 1730511916 | Heidi L Wallace | Social Worker | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2013-07-30 |
| Street Address |
27566 1375 EAST ST |
| City | WALNUT |
| State | IL |
| Zip Code | 61376-9528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588707095 | Dean A. Hulsing PC | Chiropractor | 405 W. North Street, Walnut, IL 61376 | 2007-02-14 |
| 1083764880 | Walnut Fire Department Inc | Ambulance | 115 Liberty Street, Walnut, IL 61376 | 2007-01-12 |
| 1730108002 | Dean A Hulsing | Chiropractor | 405 W North Street, Walnut, IL 61376 | 2006-07-18 |
| 1407806953 | Linda L Grant | Nurse Practitioner | 131 East Jackson Street, Walnut, IL 61376 | 2006-05-12 |
| 1467640292 | Carolyn Jean Gale | Physician Assistant | 101 N Main St, Walnut, IL 61376 | 2007-10-05 |
| 1467687525 | Walnut Fire Protection District | Ambulance | 122 E Jackson Street, Walnut, IL 61376-0523 | 2009-05-19 |
| 1508069717 | Daniel B Fuertges | Dentist | 101 N Main St, Walnut, IL 61376-0624 | 2007-06-06 |
| 1861483307 | Heritage Manor - Walnut, LLC | Skilled Nursing Facility | 308 S 2nd St, Walnut, IL 61376-9363 | 2005-11-03 |
| 1275005654 | Aspen Quadri | Occupational Therapy Assistant | 308 S 2nd St, Walnut, IL 61376-9364 | 2018-12-21 |
| 1700351814 | Katie C Edwards | Occupational Therapy Assistant | 308 S 2nd St, Walnut, IL 61376-9364 | 2018-10-05 |
| Find all providers in zip 61376 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707223 | Angelique Stewart | Social Worker | 2811 Eaglecrest Pl, Walnut, CA 91789-4076 | 2020-07-21 |
| 1801135587 | Casey Elizabeth Smith | Social Worker | 385 S Lemon Ave # E426, Walnut, CA 91789-2727 | 2013-01-31 |
| 1851481667 | Bonita Louise Conway | Social Worker | 21217 Windsong Cir, Walnut, CA 91789-2075 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.