Joslyn Wallace

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2023002802 Issued in MO

Practice address

10922 Schuetz Rd
Saint Louis, MO 63146-5704

Phone

(314) 301-8601

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Space for Grace, LLC

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1215899562
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1316719651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 POSTGROVE DR APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464575",
            "telephone_number": "314-322-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10922 SCHUETZ RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465704",
            "telephone_number": "314-301-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JOSLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.031259",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2023002802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francene Wallace
• Gretchen Coleman Wallace, MS, RD, LD, CD
• Jacob Henry Wallace, MD
• James Wallace, MA, THM, STM
• Jorge Wallace, PLPC
• Kaila Wallace, DOULA
• Keith Alan Wallace, BS PHARM
• Kelly A Wallace, CRNA
• Keri Renhui Wallace, MD
• Laura Ann Wallace, MD

• Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.