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

Jennifer Louise Wallace, CSW, QMHP

Individual provider Social Worker · NPI 1174088900

Jennifer Louise Wallace, CSW, QMHP is a Social Worker in Rapid City, South Dakota. Works from 3 locations. Licensed in South Dakota.

Licensed in
SD
In the registry since
2019

Practice location Address checks out

851 W St
Rapid City, SD 57701-2516
Phone: (605) 393-4278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5301 Hwy 16, Rapid City, SD 57701 — (605) 343-4278
  • 24100 S Rockerville Rd, Rapid City, SD 57702-7422 — (605) 343-5422

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6674 (SD)

Record details

NPI number1174088900
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW , QMHP
Sole proprietorNo
NPI enumeratedFebruary 6, 2019
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Other providers in Rapid City