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

Individual provider Social Worker · NPI 1932455458

Gloria Wallace, LCSW, CASAC is a Social Worker in Bronx, New York. Registered with an NPI since 2012.

In the registry since
2012
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

1802 Crotona Ave
Bronx, NY 10457-6621
Phone: (917) 833-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1932455458
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CASAC
Sole proprietorNo
NPI enumeratedAugust 2, 2012
Last updated in NPPESDecember 20, 2017

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