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

Jerron Wallace, LMSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033589247

Jerron Wallace, LMSW is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2015
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Practice location Address checks out

912 1st St NW
Albuquerque, NM 87102-2355
Phone: (505) 224-9777
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence X-09336 (NM)

Record details

NPI number1033589247
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedSeptember 30, 2015
Last updated in NPPESJanuary 19, 2017

Other providers in Albuquerque