Individual provider Active NPI

Allison Paige Wallace

  • Clinical Social Worker
  • Siloam Springs, AR
National Provider Identifier
1891460044
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
827 W Harvard St
Siloam Springs, AR 72761-4013
Phone
(479) 549-3121
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

827 W Harvard St
Siloam Springs, AR 72761-4013

Mailing address

313 Ramsey St
Gentry, AR 72734-7019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aw Therapy Service, LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Aug 7, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Aug 7, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients

Locations

104 W Tulsa St
Siloam Springs, AR 72761
Phone (405) 335-8087

1015 W Washbourne St
Jay, OK 74346
Phone (918) 253-4271

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1891460044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 RAMSEY ST",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727347019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W HARVARD ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614013",
            "telephone_number": "479-549-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ALLISON",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.