Jennifer Wallace
Clinical Social Worker
1300 N 17th Ave
Greeley
, Colorado 80631-9584
Jennifer Wallace
Clinical Social Worker
1300 N 17th Ave
Greeley
, Colorado 80631-9584
(970) 347-2120
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Jennifer Wallace
- 1300 N 17th Ave
- Greeley, CO
- Zip : 80631-9584
- Phone : (970) 347-2120
Second Address
- Jennifer Wallace
- 1300 N 17th Ave
- Greeley, CO
- Zip : 80631-9584
- Phone : (970) 347-2120
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | CSW.00001141 | CO |
National Provider Identifier
| NPI | 1003064213 |
|---|---|
| Provider Name | Jennifer Wallace |
| First Address | Greeley, CO 80631-9584 |
| Second Address | Greeley, CO 80631-9584 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2008 |
| Last Update Date | 09/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.