Individual provider · Type 1 NPI

Karen Elyse Wallace, LCSW

School Social Worker · Los Angeles, CA

NPI number 1811015597 Active

Practice location

439 W 97th St
Los Angeles, CA 90003-3968

Call (323) 754-2856 Map

Mailing address

PO Box 5708
Gardena, CA 90249-5708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCS 21147 (CA)
School Social Worker Primary 1041S0200XLCS 21147 (CA)

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About NPI 1811015597

Karen Elyse Wallace, LCSW's National Provider Identifier is 1811015597, issued on Mar 27, 2007. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2025.