Individual provider · Type 1 NPI

Amanda Christine Wallace, LMSW

Social Worker · Olive Branch, MS

NPI number 1215832282 Active

Practice location

6126 Chickasaw Dr
Olive Branch, MS 38654-3114

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X16865 (TN)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1215832282

Amanda Christine Wallace, LMSW's National Provider Identifier is 1215832282, issued on Oct 10, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Olive Branch, MS. The record was last updated on Oct 10, 2026.