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

Mr. Micah Wallace, CDCA

Individual provider Case Manager/Care Coordinator · NPI 1548934227

Mr. Micah Wallace, CDCA is a Case Manager/Care Coordinator in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

909 Sycamore St
Cincinnati, OH 45202-1305
Phone: (513) 558-9006
Fax: (513) 558-3880
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 181021 (OH)

Record details

NPI number1548934227
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022
Mailing address311 Albert Sabin Way, Cincinnati, OH 45229-2838

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