Wallace-Onifade, Carrie Jeanine

Wallace-Onifade, Carrie Jeanine is an individual health care provider with primary practice located at 59 Fir St , Park Forest IL 60466-1706. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wallace-Onifade, Carrie Jeanine can be contacted via phone (708) 692-0922.

Contact Information

Primary practice address
59 Fir St Park Forest IL 60466-1706
Phone: (708) 692-0922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149028458 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1861024788
LBN Legal business name Wallace-Onifade, Carrie Jeanine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2020
Last updated Dec 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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