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

Shelvey Jean Wallace, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588900989

Shelvey Jean Wallace, LCSW is an Addiction (Substance Use Disorder) Counselor in Durham, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
Specialties on file
2
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

5306 Nc Highway 55 Ste 105
Durham, NC 27713-7812
Phone: (919) 457-1517
Fax: (919) 363-7697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 — (704) 939-1100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C010042 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-21629 (NC)

Record details

NPI number1588900989
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 13, 2012
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023

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