Active NPI
Allison Paige Wallace
- Clinical Social Worker
- Siloam Springs, AR
National Provider Identifier
1891460044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aw Therapy Service, LLC | Clinical | Current | Accepting new patients |
| Grand Lake Mental Health Center, Inc. | Current | Accepting new patients | |
| Grand Lake Mental Health Center, Inc. | Current | 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.
-
- Clinical Social Worker
- Siloam Springs, AR
- NPI 1023865979
-
- Community/Behavioral Health Agency
- Tulsa, OK
- NPI 1356048656
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tulsa, OK
- NPI 1487201133
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, OK
- NPI 1497762520
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.