MISS BETHANY WALLACE LCSW
NPI 1003388455
Social Worker - Clinical in Fort Worth, TX

Active since December 26, 2018
4686 BRISTOL TRACE TRL, FORT WORTH, TX 76244(817) 705-1586 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Bethany Wallace Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS BETHANY WALLACE LCSW (NPI 1003388455) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (61687) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1003388455
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS BETHANY WALLACECredential: LCSW
Location Address4686 BRISTOL TRACE TRLFort Worth, TX 76244-6947
Mailing Address230 Lace LnBurleson, TX 76028-6736 · (817) 739-1788
Sole ProprietorNo
Enumeration DateDecember 26, 2018
NPI 1003388455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TX · 61687
Definition
A 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4686 BRISTOL TRACE TRL, Fort Worth, TX 76244

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
4686 BRISTOL TRACE TRL
FORT WORTH, TX 76244
Social Worker (Clinical)
4686 BRISTOL TRACE TRL
KELLER, TX 76244
Marriage & Family Therapist
4686 BRISTOL TRACE TRL
FORT WORTH, TX 76244
Counselor (Professional)
4686 BRISTOL TRACE TRL
FORT WORTH, TX 76244
Counselor (Professional)
4686 BRISTOL TRACE TRL
FORT WORTH, TX 76244
Counselor (Professional)
4686 BRISTOL TRACE TRL
FORT WORTH, TX 76244
Counselor (Professional)
4686 BRISTOL TRACE TRL
FORT WORTH, TX 76244
Counselor (Professional)
4686 BRISTOL TRACE TRL
FORT WORTH, TX 76244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Wallace's NPI number?

The NPI number for Bethany Wallace is 1003388455. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Bethany Wallace located?

Bethany Wallace practices at 4686 Bristol Trace Trl, Fort Worth, TX 76244. The listed phone number is (817) 705-1586.

What is Bethany Wallace's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bethany Wallace was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.