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

Ricky Wallace

Individual provider Social Worker · NPI 1538455142

Ricky Wallace is a Social Worker in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

10512 Innisbrook Dr
Jacksonville, FL 32222
Phone: (904) 534-4937
Fax: (800) 863-2339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1538455142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 22, 2011
Last updated in NPPESJune 22, 2011
Mailing address10512 Innisbrook Dr, Jacksonville, FL 32222-1363

Other providers in Jacksonville