Individual provider · Type 1 NPI

Ricky Wallace

Social Worker · Jacksonville, FL

NPI number 1538455142 Active

Practice location

10512 Innisbrook Drive
Jacksonville, FL 32222

Call (904) 534-4937 Map

Fax (800) 863-2339

Mailing address

10512 Innisbrook Dr
Jacksonville, FL 32222-1363

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XNone listed

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 1538455142

Ricky Wallace's National Provider Identifier is 1538455142, issued on Jun 22, 2011. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 22, 2011.