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

Individual provider Social Worker · NPI 1649751801

Jessica Wallace, LMSW is a Social Worker in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

75 Grand Ave
Massapequa, NY 11758-4905
Phone: (516) 799-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 117144 (NY)

Record details

NPI number1649751801
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedAugust 26, 2018
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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