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Nicole M. Wallace, MSW, LCSW

Clinical Social Worker in Huntington, NY · enumerated 2011 · practices at Mindful Journey: Mental Health Counseling, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275821993

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Registry record

Entity type Individual (Type 1)
Name Nicole M. Wallace
Credential MSW, LCSW
Sex Female
Practice address 177 Main St Ste 206, Huntington, NY, 11743
Phone (631) 380-3454
Enumeration date Jul 15, 2011
Last updated in NPPES Mar 17, 2018

Taxonomy & licenses

104100000X Social Worker Behavioral Health & Social Service Providers · License 084063 (NY) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 084663 (NY) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Nicole Wallace practice?
The practice location on file with NPPES is in Huntington, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Nicole Wallace?
The National Provider Identifier (NPI) for Nicole Wallace is 1275821993, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-17.