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

Taylor Wallis, LSW

Individual provider Social Worker · NPI 1427861988

Taylor Wallis, LSW is a Social Worker in Champaign, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2125 S Neil St
Champaign, IL 61820-7266
Phone: (217) 352-0200
Fax: (217) 607-1139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 208 S Market St, Monticello, IL 61856-1835 — (217) 352-0200

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150116163 (IL)

Record details

NPI number1427861988
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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