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

Jennifer Wallace-Johnson

Individual provider Clinical Social Worker · NPI 1073221727

Jennifer Wallace-Johnson is a Clinical Social Worker in East Longmeadow, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022

Practice location Address checks out

264 N Main St
East Longmeadow, MA 01028-1815
Phone: (860) 461-7792
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 228416 (MA)

Record details

NPI number1073221727
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2022
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022
Mailing address264 N Main St, East Longmeadow, MA 01028-1815

Other providers in East Longmeadow