Jennifer Louise Wallace, CSW, QMHP
NPI 1174088900ActiveIndividual· Social Worker· Rapid City, SD
Social Worker (CSW, QMHP) in Rapid City, South Dakota, licensed in SD, with an NPI issued in February 2019.
Overview
| NPI | 1174088900 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSW, QMHP |
| Sole proprietor | No |
| NPI issued | Feb 6, 2019 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6674 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other social workers in Rapid City
- 1336732403
- 1053094003
- 1093545972
- 1164201042
- 1316711963
- 1376191650
- 1447616552
- 1477092583
- 1265003115
- 1215847587
- 1114712049
- 1770167710
All 57 social workers in Rapid City · All social workers in South Dakota