Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356167563 Individual Practitioner Female Practitioner

Holly Wallace , LSW

Social Worker • Normal, IL

Professional Overview & Biography Verified Profile Summary

Holly Wallace, LSW is a registered healthcare professional specializing in Social Worker in Normal, IL. Practice services are available at 1302 FRANKLIN AVE STE L500 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1302 Franklin Ave Ste L500

Normal, IL 617613551

Telephone 3094518888
Associated Practice Facility / Clinic
🏢 Lifelong Access Facility NPI 1124731484

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Normal, IL (5960 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: 2024-12-03
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150.114983

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

15 Associated Practitioners
NPI 1033880687

Doctor of Occupational Therapy, Occupational Therapist Registered, L, CLIPP

Kennady Pearson

Behavior Technician

NPI 1053274878
Katie Mueller , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1053781278

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

Hannah Herald

Occupational Therapist

NPI 1174135057
Breanne Dominguez

Behavior Analyst

NPI 1184280885
Hannah Downing , LCSW

Social Worker - Clinical

NPI 1215743281

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2024

Registered at 1302 FRANKLIN AVE STE L500, NORMAL, IL 617613551 (Tel: 3094518888)

📍
Updated Business Mailing Address December 03, 2024

Registered at 2000 JACOBSSEN DR, NORMAL, IL 617616277 (Tel: 3094518888)

👤
Provider Name / Credentials Updated December 03, 2024

Recorded as HOLLY WALLACE, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2024

Social Worker (License #150.114983 in IL)

🟢
Initial NPI Registration & Enumeration December 03, 2024

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: 1356167563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2024
Last Update: December 03, 2024
Sole Proprietor: No

Mailing Address

2000 Jacobssen Dr

Normal, IL 617616277

Phone: 3094518888

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.