National Provider Identifier

Meghan Elizabeth Wallace, LMSW

Meghan Elizabeth Wallace, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in Rochester, NY and a listed phone number of (585) 458-4200.

NPI 1275031171Rochester, NYSchool Social Worker

Profile Overview

NPI
1275031171
Provider Type
Individual
Primary Specialty
School Social Worker
Enumeration Date
January 25, 2018
Last Updated
January 25, 2018

Practice Location

  • 1305 Lyell Avenue
  • Rochester, NY 14606

Phone: (585) 458-4200

Mailing Address

  • 1305 Lyell Ave
  • Rochester, NY 14606-2119

Specialties

  • School Social Worker (1041S0200X)
  • Social Worker (104100000X)
Full Record
NPI
1275031171
Entity Type
Individual
Last Name
Wallace
First Name
Meghan
Middle Name
Elizabeth
Credential
LMSW
Mailing Street Address
1305 Lyell Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-2119
Mailing Country
US
Practice Street Address
1305 Lyell Avenue
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606
Practice Country
US
Practice Phone
(585) 458-4200
Practice Fax
(585) 277-0102
Enumeration Date
January 25, 2018
Last Updated
January 25, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Social Worker (1041S0200X), Social Worker (104100000X)