Karis Michelle Wallace, is a
Social Worker based in Oakland, California. Karis Michelle Wallace is licensed to practice in California (license number 122154) and her current practice location is
8945 Golf Links Rd, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Karis Michelle Wallace is 1467001545 and her current mailing address is 8945 Golf Links Rd, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467001545.
Healthcare Provider's Profile
| Full Name | Karis Michelle Wallace |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 8945 Golf Links Rd, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467001545
- Provider Enumeration Date: 09/10/2019
- Last Update Date: 07/09/2026
Medical Identifiers
Medical identifiers for Karis Michelle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467001545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 81765 (California) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 122154 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karis Michelle Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Karis Michelle Wallace, 8945 Golf Links Rd, Oakland, CA 94605-4124 Ph: (510) 317-1444 | Karis Michelle Wallace, 8945 Golf Links Rd, Oakland, CA 94605-4124 Ph: (510) 317-1444 |
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