About

Nicole M. Wallace is a Social Worker in Huntington, New York. She has over 12 years of experience. Contact Nicole M. Wallace to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

Entity Type: Individual; Not Sole Proprietor

Gender

Female

Years in Practice

12 years

Healthcare Provider Taxonomy

  • Code: 104100000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Master of Social Work (MSW)
  • Licensed Clinical Social Worker (LCSW)

Licenses

Name License Number State
LCSW 084063 Verify NY
Social Worker 084663 Verify NY

Practice Locations

177 Main St Ste 206

Huntington, NY 11743-6917

Phone Number: (631) 380-3454

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Andrea M. Dimatteo

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Lance I. Wolfson

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Angeliqua Mitra

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