Individual provider · Type 1 NPI

Jessica S. Wallace

Social Worker · Jacksonville, FL

NPI number 1376440172 Active

Practice location

8130 Baymeadows Way W Ste 201A
Jacksonville, FL 32256-7451

Mailing address

8875 Grassy Bluff Dr
Jacksonville, FL 32216-4711

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X150.130912 (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 1376440172

Jessica S. Wallace's National Provider Identifier is 1376440172, issued on Oct 23, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 23, 2026.