Carrie Jeanine Wallace-Onifade, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149028458 Issued in IL

Practice address

59 Fir St
Park Forest, IL 60466-1706

Phone

(708) 692-0922

NPI assigned

Feb 8, 2020

Sex

Female

Sole proprietor

No

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

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.

• Westside Childrens Therapy

  • Physical Therapist
  • Joliet, IL
  • NPI 1972783900
  NPD (past)

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1861024788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 FIR ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661706",
            "telephone_number": "708-692-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 FIR ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661706",
            "telephone_number": "708-692-0922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 S Frankfort Square Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604239386",
            "country_code": "US",
            "telephone_number": "815-469-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE-ONIFADE",
        "first_name": "CARRIE",
        "middle_name": "JEANINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028458",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Healthcare Staffing LLC
• Sara E Veldhuizen, LPC
• Victory Centre of Park Forest LLC
• Village of Park Forest
• Walgreen Co
• Lakeisha Warner, LPN
• Phyllis J Warner
• April Washington, M.ED.
• Dominique Watson
• Sybil Webb, PHARMD

• Clinical Social Worker in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.