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

Connor Wallace, MD, LSW

Individual provider Social Worker · NPI 1932788320

Connor Wallace, MD, LSW is a Social Worker in Worthington, Ohio. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

5701 N High St Ste 308
Worthington, OH 43085-3960
Phone: (614) 406-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 N 3rd St Ste 300, Newark, OH 43055-5550 — (740) 349-7511

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1932788320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , LSW
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address74 United Crossing Rd Unit 74l, Columbus, OH 43235-1179

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