Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437590973 Individual Practitioner Male Practitioner

John Burton Wallace , LCSW

Social Worker • Decatur, GA

Professional Overview & Biography Verified Profile Summary

John Wallace, LCSW is a registered healthcare professional specializing in Social Worker in Decatur, GA. Practice services are available at 1123 CLAIRMONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1123 Clairmont Rd

Decatur, GA 300301207

Telephone 9173926700
Associated Practice Facility / Clinic
🏢 Bit By Bit Counseling Facility NPI 1366036147

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
116 Specialists

Practicing in Decatur, GA (2201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-10
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Sheena Diaz , LPC

Counselor - Professional

NPI 1073432118

Licensed Professional Counselor

Leigh Ware

Social Worker - Clinical

NPI 1396430005
Holly Peyer

Health & Wellness Coach

NPI 1598646390
Nauman Butt

Counselor - Mental Health

NPI 1669307401
Dr. Laura Hoskins , PsyD

Clinical Neuropsychologist

NPI 1700113883

Doctor of Psychology (Psy.D.)

NPI 1730423898

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 18, 2024

Registered at 1123 CLAIRMONT RD, DECATUR, GA 300301207 (Tel: 9173926700)

📍
Updated Practice Location June 01, 2022

Registered at 215 CHURCH ST STE 104, DECATUR, GA 300303330 (Tel: 9173926700)

📍
Updated Practice Location August 17, 2021

Registered at 1736 OAKVIEW RD, DECATUR, GA 300304235 (Tel: 9173926700)

📍
Updated Business Mailing Address July 21, 2020

Registered at 1736 OAKVIEW RD, DECATUR, GA 300304235 (Tel: 9173926700)

👤
Provider Name / Credentials Updated July 21, 2020

Recorded as JOHN WALLACE, LCSW

📍
Updated Practice Location November 26, 2019

Registered at 141 S 5TH ST OFC EAST, BROOKLYN, NY 11211 (Tel: 9173926700)

📍
Updated Business Mailing Address November 26, 2019

Registered at 141 S 5TH ST OFC EAST, BROOKLYN, NY 112115597

NPI Profile Active July 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2013

Registered at 34 W 139TH ST, NEW YORK, NY 100371508 (Tel: 2126907234)

📍
Updated Business Mailing Address July 12, 2013

Registered at 204 WITHERS ST # 1, BROOKLYN, NY 112111406

👤
Provider Name / Credentials Updated July 12, 2013

Recorded as JOHN WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2013

Social Worker

🟢
Initial NPI Registration & Enumeration July 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437590973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2013
Last Update: March 18, 2024
Sole Proprietor: Yes

Mailing Address

1736 Oakview Rd

Decatur, GA 300304235

Phone: 9173926700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.