NPI age
11 years
Enumerated 2015-02-20
● Active
Type 1 · Individual
MRS. Chulete Aurielle Wallace-Keane, LCSW
Wallace-Keane is 1 of 26 social worker providers in Moody Afb and 1 of 5654 in Georgia.
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
NC
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5654 active social worker providers in Georgia.
NPI age
11 years
↑ 2 yr above median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Practice location
3280 Mitchell Blvd
Moody Afb, GA 316991500
Mailing address
3280 Mitchell Blvd
Moody Afb, GA 316991500
Specialties
-
Social Worker PrimaryA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Practice context
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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