Ellen Robertson Wallace, LCSW is a
Social Worker - Clinical based in Linden, Alabama. Ellen Robertson Wallace is licensed to practice in Alabama (license number 2353C) and her current practice location is
306 Abbott St, Linden, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 341-0224.
NPI number for Ellen Robertson Wallace is 1760957872 and her current mailing address is Po Box 480743, Linden, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760957872.
Healthcare Provider's Profile
Full Name | Ellen Robertson Wallace |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 306 Abbott St, Linden, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760957872
- Provider Enumeration Date: 10/05/2018
- Last Update Date: 10/05/2018
Medical Identifiers
Medical identifiers for Ellen Robertson Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760957872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2353C (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Robertson Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ellen Robertson Wallace, LCSW Po Box 480743, Linden, AL 36748-0743 Ph: (334) 341-0224 | Ellen Robertson Wallace, LCSW 306 Abbott St, Linden, AL 36748-3022 Ph: (334) 341-0224 |
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