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

Veronique Wallace, LCSW

Individual provider Social Worker · NPI 1437406592

Veronique Wallace, LCSW is a Social Worker in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
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

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471
Phone: (773) 957-4469
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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 149015858 (IL)
Social Worker Taxonomy 104100000X · Licence 150.013083 (IL)

Record details

NPI number1437406592
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 8, 2012
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

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