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

Individual provider Clinical Social Worker · NPI 1760957872

Ellen Robertson Wallace, LCSW is a Clinical Social Worker in Linden, Alabama. Licensed in Alabama. Registered with an NPI since 2018.

Licensed in
AL
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

306 Abbott St
Linden, AL 36748-3022
Phone: (334) 341-0224
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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 2353C (AL)

Record details

NPI number1760957872
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 5, 2018
Last updated in NPPESOctober 5, 2018

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