Evan C. Wallace, LMSW
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2024
- Practice address
- 105 Pfeiffer Avenue, Kirksville, MO 63501
- Practice phone
- Call (660) 665-4612
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mark Twain Behavioral Health - Kirksville
Outpatient Addiction Treatment · Kirksville, Missouri
Find Evan Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Evan C. Wallace is a clinical social worker in Kirksville, Missouri
Evan Wallace practices at Mark Twain Behavioral Health - Kirksville in Kirksville, Missouri.
Evan Wallace's NPI, 1770329583, was assigned on July 2, 2024. Evan Wallace holds Missouri license 2024022765.
- NPI
- 1770329583NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9537626940
- NPI enumeration date
- July 2, 2024
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (660) 665-4612
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Evan C. Wallace practices at Mark Twain Behavioral Health - Kirksville in Kirksville, Missouri
Evan Wallace's primary practice is Mark Twain Behavioral Health - Kirksville, at 105 Pfeiffer Avenue, Kirksville, MO 63501. The practice phone is (660) 665-4612.
- Mark Twain Behavioral Health - Kirksville105 Pfeiffer Avenue, Kirksville, MO 63501Phone(660) 665-4612
Source: Dmand AI Affiliation Data
Evan C. Wallace is affiliated with 1 site of care and 1 medical group
Evan Wallace's primary practice is Mark Twain Behavioral Health - Kirksville in Kirksville, Missouri. The medical group on file is Mark Twain Behavioral Health. Evan Wallace's employer is on file too: a behavioral health center.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Evan C. Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Evan Wallace practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mark Twain Behavioral Health - Kirksville | Available with a free account |
Source: Dmand AI Technology Install Data
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Evan C. Wallace is one of 1,638 clinical social workers in Missouri
Social worker is Evan Wallace's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Evan Wallace is licensed in Missouri.
Specialties and state licenses
- Clinical social worker, MissouriPrimary
Clinical social workers near Evan Wallace
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Evan C. Wallace's patients have a median age of 13
Across all payers, Dmand AI patient panel data puts Evan Wallace's median patient age at 13, with 0% women.
Evan Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 13
Patient panel by sex, all payers
- Women0%
- Men100%
Source: Dmand AI Patient Panel Data
How Evan C. Wallace takes part in Medicare
Evan Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Evan C. Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Evan C. Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Evan C. Wallace's NPI number?
Evan C. Wallace's NPI number is 1770329583. It was assigned on July 2, 2024, and it is active in the NPI Registry.
What does Evan C. Wallace specialize in?
Evan C. Wallace is a clinical social worker in Kirksville, Missouri. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Evan C. Wallace practice?
Evan Wallace practices at 105 Pfeiffer Avenue, Kirksville, MO 63501. Evan Wallace's primary practice is Mark Twain Behavioral Health - Kirksville in Kirksville, Missouri.
What is Evan C. Wallace's office phone number?
The practice phone on file for Evan Wallace is (660) 665-4612.
What is Evan C. Wallace's medical license number?
Evan Wallace holds Missouri license 2024022765.
What medical group is Evan C. Wallace part of?
Evan Wallace is linked to Mark Twain Behavioral Health.
Does Evan C. Wallace accept Medicare?
Yes. CMS lists Evan Wallace as accepting Medicare assignment.
How long has Evan C. Wallace been practicing?
Evan Wallace's NPI was assigned in 2024.
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