Tiffany Wallace, PLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

PLMSW Issued in AR

Practice address

2718 S Arch St
Little Rock, AR 72206-6529

Phone

(501) 551-1201

Fax

(501) 615-8721

NPI assigned

Aug 6, 2025

Sex

Female

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

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.

• Arkansas Holistic Therapy

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1538794086
  NPD

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1932084472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 S ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066529",
            "telephone_number": "501-551-1201",
            "fax_number": "501-615-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 S ARCH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722066529",
            "telephone_number": "501-551-1201",
            "fax_number": "501-615-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "TIFFANY",
        "credential": "PLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "PLMSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Taylor Wallace, APRN
• Madeline G Wallace, RD
• Meagan Wallace
• Tabitha A Wallace, RDH
• Thomas Witherspoon Wallace, MD
• Ceon Evonne Waller
• Emily Katherine Waller, MD
• Larry Henle Waller, M.D.
• Lydia Waller, RN
• Jesse Walley

• Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.