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

Mr. Gregory Wallace, LCSWC

Individual provider Social Worker · NPI 1700898012

Mr. Gregory Wallace, LCSWC is a Social Worker in Rockville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006
Specialties on file
2

Practice location Address checks out

932 Hungerford Dr Ste 18B
Rockville, MD 20850-1751
Phone: (301) 806-1892
Fax: (301) 468-1862
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 12531 (MD)
Social Worker Taxonomy 104100000X · Licence 12531 (MD)

Record details

NPI number1700898012
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWC
Sole proprietorYes
NPI enumeratedAugust 13, 2006
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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