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MRS. ANDREA EVE WALLACH LCSW MSW NPI 1033193545


NPI Information

NPI: 1033193545
Provider Name: MRS. ANDREA EVE WALLACH, LCSW MSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
115 S WILKE RD
206 D
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 256-6426
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MRS. Andrea Eve Wallach, LCSW MSW is a social worker in Arlington Heights, IL. The provider is 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. MRS. Andrea Eve Wallach, LCSW MSW NPI is 1033193545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 S WILKE RD
206 D
ARLINGTON HEIGHTS, IL
ZIP 60005-532
Phone: (847) 256-6426
Fax: (847) 967-0929

The enumeration date for this NPI number is 11/30/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10001673683OTHERILLINOISBCBS
2098768MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.