Heidi Allison Wilken Wallace, LCSW is a
Social Worker - Clinical based in Walnut, Illinois. Heidi Allison Wilken Wallace is licensed to practice in Illinois (license number 149012947) and her current practice location is
27566 1375 East St, Walnut, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 383-7277.
NPI number for Heidi Allison Wilken Wallace is 1528107471 and her current mailing address is 27566 1375 East St, Walnut, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528107471.
Healthcare Provider's Profile
Full Name | Heidi Allison Wilken Wallace |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 27566 1375 East St, Walnut, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528107471
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 11/19/2012
Medical Identifiers
Medical identifiers for Heidi Allison Wilken Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528107471 | NPI | - | NPPES |
HW49060306P | Other | IL | EARLY INTERVENTION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149012947 (Illinois) | Primary |
222Q00000X | Developmental Therapist | HW49060306P (Illinois) | Secondary |
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. Heidi Allison Wilken 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 |
Heidi Allison Wilken Wallace, LCSW 27566 1375 East St, Walnut, IL 61376-9528 Ph: (815) 383-7277 | Heidi Allison Wilken Wallace, LCSW 27566 1375 East St, Walnut, IL 61376-9528 Ph: (815) 383-7277 |
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