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

Individual provider Clinical Social Worker · NPI 1649920489

Natalie Wallace, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

1619 3rd Ave Rm 202
New York, NY 10128-3459
Phone: (212) 860-8500
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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 092051-01 (NY)

Record details

NPI number1649920489
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 25, 2022
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022

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