National Provider Identifier
Debra Wallace, LMSW
Debra Wallace, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Greece, NY and a listed phone number of (585) 385-6030.
Profile Overview
- NPI
- 1386517050
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- September 27, 2025
- Last Updated
- September 27, 2025
Practice Location
- 1100 Long Pond RD
- Greece, NY 14626-1177
Phone: (585) 385-6030
Mailing Address
- PO Box 411
- North Chili, NY 14514-0411
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1386517050
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Debra
- Credential
- LMSW
- Mailing Street Address
- PO Box 411
- Mailing City
- North Chili
- Mailing State
- NY
- Mailing ZIP Code
- 14514-0411
- Mailing Country
- US
- Mailing Phone
- (585) 261-9059
- Practice Street Address
- 1100 Long Pond RD
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14626-1177
- Practice Country
- US
- Practice Phone
- (585) 385-6030
- Enumeration Date
- September 27, 2025
- Last Updated
- September 27, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)