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

Individual provider Clinical Social Worker · NPI 1003512815

Steven Curtis Wallace, LLMSW is a Clinical Social Worker in Petoskey, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
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Practice location Address checks out

3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423
Phone: (231) 881-9125
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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 6851116117 (MI)

Record details

NPI number1003512815
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing address249 E Hathaway Rd, Harbor Springs, MI 49740-9570

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