Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Leah Wallace, CHW

Individual provider Supports Brokerage Agency · NPI 1962254557

MS. Leah Wallace, CHW is registered under Supports Brokerage Agency in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1734 Wickford Rd
Cleveland, OH 44112-1208
Phone: (216) 374-1546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence CHW003335 (OH)
Supports Brokerage Agency Taxonomy 251X00000X (OH)
Case Management Agency Taxonomy 251B00000X · Licence CHW003335 (OH)

Record details

NPI number1962254557
Entity typeIndividual (Type 1)
GenderFemale
Credentials CHW
Sole proprietorYes
NPI enumeratedApril 4, 2024
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026

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