Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce Wallace

Individual provider Clinical Social Worker · NPI 1689341679

Bruce Wallace is a Clinical Social Worker in Waianae, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.

Licensed in
HI
In the registry since
2021

Practice location Address checks out

85-888 Farrington Hwy
Waianae, HI 96792-2403
Phone: (808) 696-9498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-5142 (HI)

Record details

NPI number1689341679
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 26, 2021
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

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