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

Eric Lee Nelson Wallen, LMSW

Individual provider Social Worker · NPI 1114556081

Eric Lee Nelson Wallen, LMSW is a Social Worker in Bonne Terre, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

11 S Division St
Bonne Terre, MO 63628-1772
Phone: (573) 723-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 2020009792 (MO)

Record details

NPI number1114556081
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020

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