MS. Jill Natalie Wallace, LCSW
MS. Jill Natalie Wallace, LCSW is a Clinical Social Worker in East Northport, New York. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 34
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
15 Heath LnEast Northport, NY 11731-1912
Phone: (516) 459-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X (NY) |
|---|
Record details
| NPI number | 1902985724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1992 (34 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in East Northport
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Kimberly Sanfilippo
14 Leland St, East Northport, NY 11731-1925 · (631) 901-2028
-
MS. Teresa Simeone, LCSW
707 3rd Ave, East Northport, NY 11731-3449 · (631) 495-5958
-
Mrs. Lilyana Mary Sullivan, LMSW
101 Laurel Rd, East Northport, NY 11731-1415 · (516) 962-1191
-
MS. Phyllis Vedder, LCSW
89 Daly Rd, East Northport, NY 11731-6307 · (631) 462-5987