DR. ALISSA HEBERT-WALLACE LCSW NPI 1083001721

NPI Information

  • NPI: 1083001721
  • Provider Name: DR. ALISSA HEBERT-WALLACE, LCSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 515 SCR 57A
    MOUNT OLIVE, MS
    ZIP 39119
  • Phone: (601) 317-6210

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NPI Details

DR. Alissa Hebert-wallace, LCSW is a social worker in Mount Olive, MS. 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. DR. Alissa Hebert-wallace, LCSW NPI is 1083001721. 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:

515 SCR 57A
MOUNT OLIVE, MS
ZIP 39119-917
Phone: (601) 317-6210

The enumeration date for this NPI number is 4/21/2015 and was last updated on 5/18/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerC8935MISSISSIPPIYes

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: 11/21/2025

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