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

MS. Madison Wallace

Individual provider Counselor · NPI 1407452501

MS. Madison Wallace is a Counselor in Denver, Colorado. Licensed in Colorado and Connecticut. Registered with an NPI since 2020.

Licensed in
CO, CT
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1691 Pontiac St
Denver, CO 80220-1851
Phone: (843) 861-8922
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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 11691 (CT)
Counselor Taxonomy 101Y00000X
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW.09927168 (CO)

Record details

NPI number1407452501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2020
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023
Mailing address1691 Pontiac St, Denver, CO 80220-1851

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