MEDICARE: JOSLYN WALLACE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.031259	IL
2	104100000X	Social Worker	2023002802	MO

General Provider Information

NPI Number	:	1316719651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSLYN WALLACE

Provider Business Mailing Address
First Line	:	12525 POSTGROVE DR APT C
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4575
Country	:	US
Telephone Number	:	314-322-3044
Fax Number	:

Provider Business Practice Location Address
First Line	:	10922 SCHUETZ RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5704
Country	:	US
Telephone Number	:	314-301-8601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	02/25/2026

Similar Medicare Providers

1356294946 — DR. COLETTE MCLEMORE DIXON
Practice Location Address:

10922 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-612-4827
Practice Fax:

1407707482 — JENNIFER F WADE
Practice Location Address:

10922 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-612-4827
Practice Fax:

1952392359 — SUPPLEMENTAL MEDICAL SERVICES
Practice Location Address:

10916 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-997-8833
Practice Fax: 314-997-3115

1114099595 — JEWISH FAMILY SERVICES OF ST. LOUIS
Practice Location Address:

10950 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-993-1000
Practice Fax:

1962544171 — SUPPLEMENTAL MEDICAL SERVICES
Practice Location Address:

10916 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-997-8833
Practice Fax: 314-997-3115

1437291754 — SUPPLEMENTAL MEDICAL SERVICES
Practice Location Address:

10916 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-997-8833
Practice Fax: 314-997-3115

Directions to “ JOSLYN WALLACE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.