Clare B. Mulholland Wallace, E.ED, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S0800227 Issued in OH

Practice address

1641 Payne Ave
Suite 190
Cleveland, OH 44114-2919

Phone

(216) 987-8983

Fax

(216) 987-7883

NPI assigned

Jul 29, 2015

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1962887133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 DEEPWOOD BLVD",
            "address_2": "A 10",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608900",
            "telephone_number": "440-391-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 PAYNE AVE",
            "address_2": "SUITE 190",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142919",
            "telephone_number": "216-987-8983",
            "fax_number": "216-987-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND WALLACE",
        "first_name": "CLARE",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "E.ED, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0800227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sawrav Josh Mukherjee, M.D., M.S.
• Richard Mulcahy, DC
• Stephanie Muleba
• Girish D Mulgaokar, MD
• Jessica Lee Mulhollan, PHARMD
• Katherine Elizabeth Mulig, CNP
• Ann Marie Mann Marie Mullen
• Clodagh Redahan Mullen
• Dan Mullen
• Keara Mullen, MSW, MA, LSW, CDCA

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.