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

Jennifer Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1003064213

Jennifer Wallace, LCSW is a Clinical Social Worker in Greeley, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
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

1300 N 17th Ave
Greeley, CO 80631-9584
Phone: (970) 347-2120
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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 CSW.00001141 (CO)

Record details

NPI number1003064213
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 29, 2008
Last updated in NPPESSeptember 9, 2014
Mailing address1300 N 17th Ave, Greeley, CO 80631-9584

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