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

Kevin Wallace, LMSW

Individual provider Social Worker · NPI 1073207049

Kevin Wallace, LMSW is a Social Worker in Teaneck, New Jersey. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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

799 John St
Teaneck, NJ 07666-5333
Phone: (917) 327-7162
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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 095669 (NY)

Record details

NPI number1073207049
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address799 John St, Teaneck, NJ 07666-5333

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