Individual provider · Type 1 NPI

Stephen Wallace, LMSW

Clinical Social Worker · Kansas City, MO

NPI number 1427668102 Active

Practice location

3100 NE 83rd St
Kansas City, MO 64119-4400

Call (816) 468-0400 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2024019009 (MO)

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 1427668102

Stephen Wallace, LMSW's National Provider Identifier is 1427668102, issued on Aug 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kansas City, MO. The record was last updated on Oct 27, 2026.