Individual provider · Type 1 NPI

Tara Wallace

Clinical Social Worker · Topeka, KS

NPI number 1043633027 Active

Practice location

225 SW 12th St Rm 205
Topeka, KS 66612-1310

Fax (785) 727-4006

Mailing address

325 SW Frazier Ave
Topeka, KS 66606-1963

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X9072 (KS)
Clinical Social Worker Primary 1041C0700X4741 (KS)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043633027

Tara Wallace's National Provider Identifier is 1043633027, issued on Jan 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Topeka, KS. The record was last updated on Jun 27, 2025.