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CINDY LEE WALLACE LCSW
NPI 1114395274
Social Worker - Clinical in South Jordan, UT

Active since September 07, 2015PECOS Enrolled
1206 W SOUTH JORDAN PKWY STE D, SOUTH JORDAN, UT 84095(801) 302-3801(801) 302-7248 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cindy Lee Wallace Lcsw NPPES

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

CINDY LEE WALLACE LCSW (NPI 1114395274) is an individual clinical provider in South Jordan, Utah, licensed in Utah (10140193-3501) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114395274
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCINDY LEE WALLACECredential: LCSW
Location Address1206 W SOUTH JORDAN PKWY STE DSouth Jordan, UT 84095-5519
Mailing Address1206 W South Jordan Pkwy Ste DSouth Jordan, UT 84095-5519 · (801) 302-3801 · Fax (801) 302-7248
Phone(801) 302-3801
Fax(801) 302-7248
Sole ProprietorNo
Enumeration DateSeptember 7, 2015
Last NPPES UpdateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1114395274 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 UT · 10140193-3501
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.
1206 W SOUTH JORDAN PKWY STE D, South Jordan, UT 84095
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Other Names 1

Former Name (1)Cindy Lee Fowler

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cindy Lee Wallace Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84095 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 20

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

JORY WOODROW HATFIELD LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
EVELYN MARIE DILLINGHAM
Counselor (Mental Health)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
BROOKE JENSEN
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
MINDY MEYERS SAARI LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
HAILEE JEAN MECHAM
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
KIMBERLY SUE NEWMAN LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
HALIE ELIZABETH CHECKETTS LCSW
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801
PAMELA DENISE BAILEY-GOOD
Social Worker (Clinical)
1206 W SOUTH JORDAN PKWY STE D
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-3801

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 Cindy Wallace's NPI number?

The NPI number for Cindy Wallace is 1114395274. It was assigned to this individual provider in the NPPES registry on September 7, 2015. The provider is also known as Cindy Lee Fowler.

Where is Cindy Wallace located?

Cindy Wallace practices at 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095. The listed phone number is (801) 302-3801.

What is Cindy Wallace's specialty?

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

Is Cindy Wallace enrolled in Medicare?

Yes. Cindy Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Cindy Wallace accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Cindy 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 Cindy Wallace was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.