Heidi Allison Wilken Wallace, LCSW
Clinical Social Worker · Walnut, IL
Practice location
27566 1375 East StWalnut, IL 61376-9528
- Phone
- (815) 383-7277
- Fax
- (815) 379-2184
NPI record
- NPI
- 1528107471
- Entity type
- Individual (Type 1)
- Enumeration date
- February 6, 2007
- Last updated
- November 19, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
149012947 | IL |
| Developmental Therapist | 222Q00000X |
HW49060306P | IL |
About Heidi Wallace
Heidi Allison Wilken Wallace, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 27566 1375 East St, Walnut, IL 61376-9528. The NPI number 1528107471 was assigned on February 6, 2007 and the record was last updated on November 19, 2012.
Heidi Wallace lists 2 licenses in the registry: #149012947 (IL) for Clinical Social Worker; #HW49060306P (IL) for Developmental Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Heidi Allison Wilken Wallace, LCSW?
The NPI number is 1528107471.
What is the phone number of Heidi Wallace?
The phone number listed for the practice location is (815) 383-7277.
Where is Heidi Wallace located?
27566 1375 East St, Walnut, IL 61376-9528.
What is the taxonomy code for Heidi Wallace?
The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.