Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA WALLACE, LCSW, LCDC
Active Sole ProprietorLISA WALLACE, LCSW, LCDC is a Clinical Social Worker healthcare provider located in GEORGETOWN, Texas. NPI 1760958458 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GEORGETOWN, TX
Registration Details
- NPI Number
- 1760958458
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2018 (7.7970947279126 yrs)
- Last Updated
- Oct 28, 2021
- Licenses
-
58545 (TX)12442 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2903 GABRIEL VIEW DRGEORGETOWN, TX, 786282707Browse TX providers · Browse ZIP 78628
- Phone
- 5128699254
- Fax
- 5128636833
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Clinical Social Worker Providers in GEORGETOWN, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. BRENDA BEARDEN FRY | MSSW, LCSW | 1225036825 |
| JANET KIM FEMINO TUOHY | LCSW-S | 1710979786 |
| MS. DENISE ANN GORDON | MSW | 1588638613 |
| MRS. BARBARA A BENDER | LCSW | 1770500498 |
| JOAN ELIZABETH MAUS | MSSW, LCSW | 1154340669 |
| TERESA ROSE MCCRARY | LCSW | 1568470987 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.