Individual provider · Type 1 NPI

Holly Wallace, LSW

Social Worker · Normal, IL

NPI number 1356167563 Active

Practice location

1302 Franklin Ave Ste L500
Normal, IL 61761-3551

Mailing address

2000 Jacobssen Dr
Normal, IL 61761-6277

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X150.114983 (IL)

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 1356167563

Holly Wallace, LSW's National Provider Identifier is 1356167563, issued on Dec 3, 2024. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Normal, IL. The record was last updated on Dec 3, 2024.