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

Jared Wallace

Individual provider Clinical Social Worker · NPI 1447188297

Jared Wallace is a Clinical Social Worker in Lansing, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

812 E Jolly Rd
Lansing, MI 48910-6825
Phone: (517) 237-7162
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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

Record details

NPI number1447188297
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address812 E Jolly Rd Ste 210, Lansing, MI 48910-6825

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