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

MS. Mykala R Wallace, LMSW

Individual provider Social Worker · NPI 1083297774

MS. Mykala R Wallace, LMSW is a Social Worker in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2021.

Licensed in
AR
In the registry since
2021
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

885 W Clydesdale Dr
Fayetteville, AR 72701-8209
Phone: (479) 444-1670
Fax: (479) 445-6903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 10102-M (AR)

Record details

NPI number1083297774
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021

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