Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amaya O. Wallace, LCSW-A, LCAS

Individual provider Social Worker · NPI 1588492664

Amaya O. Wallace, LCSW-A, LCAS is a Social Worker in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
Specialties on file
4
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Practice location Address checks out

6118 Saint Giles St Ste 120
Raleigh, NC 27612-7045
Phone: (984) 278-8449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (NC)
Social Worker Taxonomy 104100000X (NC)
Clinical Social Worker Taxonomy 1041C0700X
Doula Taxonomy 374J00000X

Record details

NPI number1588492664
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A , LCAS
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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