Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allison Wallace, LICSW

Individual provider Clinical Social Worker · NPI 1669155107

Allison Wallace, LICSW is a Clinical Social Worker in Golden Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

7500 Olson Memorial Hwy
Golden Valley, MN 55427-4886
Phone: (651) 271-1665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 26738 (MN)

Record details

NPI number1669155107
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address7505 Metro Blvd Ste 505, Edina, MN 55439-3018

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