Stephen Wallace, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024019009 Issued in MO

Practice address

3100 NE 83Rd St
Kansas City, MO 64119-4400

Phone

(816) 468-0400

NPI assigned

Aug 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Monarch ABA, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leavenworth, KS
  • NPI 1821446246
  NPD (past)
• Monarch Behavioral Supports, LLC

  • Behavior Analyst
  • Leavenworth, KS
  • NPI 1942709126
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1427668102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194400",
            "telephone_number": "816-468-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194400",
            "telephone_number": "816-468-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024019009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin P Wallace, PHD
• Julie Wallace
• Laura Wallace
• Sabrina Wallace
• Sarah Jane Wallace, APN
• Hannah Walleck
• Olivia Grace Wallen
• Margaret Waller, M.D.
• Sydney Ann Wallick
• Tara Stratton Wallingford, LSP

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.