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

Mrs. Samantha Wallace, LCSW

Individual provider Case Manager/Care Coordinator · NPI 1851777171

Mrs. Samantha Wallace, LCSW is a Case Manager/Care Coordinator in Bronx, New York. Licensed in Georgia and New York. Registered with an NPI since 2015.

Licensed in
GA, NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

329 E 149th St
Bronx, NY 10451-5601
Phone: (718) 769-2698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW006425 (GA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 72085249 (NY)

Record details

NPI number1851777171
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

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