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

Evan C Wallace, LMSW

Individual provider Clinical Social Worker · NPI 1770329583

Evan C Wallace, LMSW is a Clinical Social Worker in Hannibal, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
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

154 Forrest Dr
Hannibal, MO 63401-5511
Phone: (573) 221-2120
Fax: (573) 221-4380
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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 2024022765 (MO)

Record details

NPI number1770329583
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address154 Forrest Dr, Hannibal, MO 63401-5511

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