JENNIFER LYNN HATAWAY-WALLACE LCSW
NPI 1255996617
Social Worker - Clinical in Fort Meade, SD

NPI Status: Active since May 01, 2019

Contact Information

113 COMANCHE RD
FORT MEADE, SD
ZIP 57741
Phone: (605) 720-7422

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  • Individual
  • Female
  • Social Worker
  • Clinical

About JENNIFER HATAWAY-WALLACE

This page provides the complete NPI Profile along with additional information for Jennifer Hataway-wallace, a provider established in Fort Meade, South Dakota with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1255996617 assigned on May 2019. The practitioner's primary taxonomy code is 1041C0700X with license number 3589 (SD). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1255996617
Provider Name
JENNIFER LYNN HATAWAY-WALLACE LCSW
Gender
Female
Entity Type
Individual
Location Address
113 COMANCHE RD FORT MEADE, SD 57741
Location Phone
(605) 720-7422
Mailing Address
113 COMANCHE RD FORT MEADE, SD 57741
Mailing Phone
(605) 720-7422
Is Sole Proprietor?
No
Enumeration Date
05-01-2019
Last Update Date
05-01-2019
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A clinical social worker like Jennifer Hataway-wallace is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
3589
License State
SD
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255996617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051891262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 8 + 9 + 1 + 2 + 6 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1255996617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245280643DR. JUDD ALAN SPARAGON D.P.M.
Individual
Podiatrist (Primary Podiatric Medicine)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 347-2511
1245280759 MICHAEL L DAVIES MD
Individual
Internal Medicine113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7172
1790723146 CHARLES KILMER PHYSICIAN ASSISTANT
Individual
Physician Assistant113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7069
1790701332DR. LOREN J JANKE PHARMD
Individual
Pharmacist (Pharmacotherapy)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 347-2511
1851405617 RENEE ROSE RADERMACHER MSW - PIP
Individual
Social Worker (Clinical)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7041
1649384330 KARIN BECHT MSSA
Individual
Social Worker (Clinical)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7044
1922116912MS. LAURA ANN BEAUMONT CSW MSW
Individual
Social Worker113 COMANCHE RD FORT MEADE MEDICAL CENTER
FORT MEADE, SD 57741
(605) 720-7047
1679678155MS. CONSTANCE LENORE WATSON
Individual
Social Worker (Clinical)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7039
1386749539MRS. CINNAMON JEAN HOEM
Individual
Social Worker113 COMANCHE RD
FORT MEADE, SD 57741
(180) 074-3107
1821196072 JULIE MICHELLE RICHARDSON M.S., R.D., L.N.
Individual
Dietitian, Registered113 COMANCHE RD
FORT MEADE, SD 57741
(605) 347-2511
1720188923 DONNA MARIA BOSSMAN P.T.
Individual
Physical Therapist113 COMANCHE RD GER&R 3
FORT MEADE, SD 57741
(605) 720-7189
1285735399 KIMBERLEY CROSSWAIT PTMS
Individual
Physical Therapist113 COMANCHE RD
FORT MEADE, SD 57741
(800) 743-1070
1801997366MRS. ASHLEY ANN HORNING RD, LN
Individual
Dietitian, Registered113 COMANCHE RD
FORT MEADE, SD 57741
(605) 347-2511
1104917103DR. MICHAEL DAVID LEMON PHARMD
Individual
Pharmacist (Pharmacotherapy)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7107
1851483598 LANA KAY FISCHER MD
Individual
Internal Medicine113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7000
1235221995 PATRICK JAMES KEOHANE PHD
Individual
Psychologist (Clinical)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7000
1821180498 ROBERT DOUGLAS REILLY CRNA
Individual
Nurse Anesthetist, Certified Registered113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7000
1083706659 KENNETH B PETERSON MD
Individual
Family Medicine (Sports Medicine)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7000
1215029939 DARYL S DICKSON MD
Individual
Family Medicine113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7000
1518059252 CRAIG JOHN FISCHER DDS
Individual
Dentist (General Practice)113 COMANCHE RD
FORT MEADE, SD 57741
(605) 720-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255996617, enumerated in the NPI registry as an "individual" on May 01, 2019

The provider is located at 113 Comanche Rd Fort Meade, Sd 57741 and the phone number is (605) 720-7422

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on May 01, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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