Lyle G. Wallace

School Social Worker · West Orange, NJ

Individual Active NPI

NPI number 1992444954

Practice location

36 Walker Rd
West Orange, NJ 07052-4403
Phone
(973) 715-5591

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NPI record

NPI
1992444954
Entity type
Individual (Type 1)
Enumeration date
May 29, 2022
Last updated
May 29, 2022
Certified
May 29, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
School Social Worker Primary 1041S0200X 44SL04765500 NJ

About Lyle Wallace

Lyle G. Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy School Social Worker (code 1041S0200X). The practice location is 36 Walker Rd, West Orange, NJ 07052-4403. The NPI number 1992444954 was assigned on May 29, 2022 and the record was last updated on May 29, 2022.

Lyle Wallace lists a license in the registry: #44SL04765500 (NJ) for School Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lyle G. Wallace?

The NPI number is 1992444954.

What is the phone number of Lyle Wallace?

The phone number listed for the practice location is (973) 715-5591.

Where is Lyle Wallace located?

36 Walker Rd, West Orange, NJ 07052-4403.

What is the taxonomy code for Lyle Wallace?

The primary taxonomy code is 1041S0200X – School Social Worker.

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.