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

MS. Jan Ellen Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1972936425

MS. Jan Ellen Wallace, LCSW is a Clinical Social Worker in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
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

140 N Tucson Blvd
Tucson, AZ 85716-4740
Phone: (520) 396-1021
Fax: (520) 881-1648
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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 LCSW-1647 (AZ)

Record details

NPI number1972936425
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 19, 2013
Last updated in NPPESAugust 19, 2013

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