CYNTHIA WALLACE LICSW
NPI 1093075913
Social Worker - Clinical in Walla Walla, WA

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
19 E BIRCH ST STE 103, WALLA WALLA, WA 99362(509) 200-7290 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cynthia Wallace Licsw NPPES

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

CYNTHIA WALLACE LICSW (NPI 1093075913) is an individual clinical provider in Walla Walla, Washington, licensed in Washington (LW00009476) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1093075913
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCYNTHIA WALLACECredential: LICSW
Location Address19 E BIRCH ST STE 103Walla Walla, WA 99362-3084
Mailing Address553 Locust StWalla Walla, WA 99362-3338 · (509) 200-7290
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 24, 2012
NPI 1093075913 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 WA · LW00009476
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.

19 E BIRCH ST STE 103, Walla Walla, WA 99362

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cynthia Wallace Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547582629
PECOS Enrollment IDI20141126000859
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Cynthia Wallace's NPI number?

The NPI number for Cynthia Wallace is 1093075913. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Cynthia Wallace located?

Cynthia Wallace practices at 19 E Birch St Ste 103, Walla Walla, WA 99362. The listed phone number is (509) 200-7290.

What is Cynthia Wallace's specialty?

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

Is Cynthia Wallace enrolled in Medicare?

Yes. Cynthia Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cynthia Wallace accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Cynthia Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cynthia Wallace was last updated on May 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.