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LAUREN ROSE WALLACE MSW, LCSWA
NPI 1114811510
Social Worker - Clinical in Durham, NC

Active since June 09, 2025
3622 LYCKAN PKWY STE 5007, DURHAM, NC 27707(919) 924-5764 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren Rose Wallace Msw, Lcswa NPPES

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

LAUREN ROSE WALLACE MSW, LCSWA (NPI 1114811510) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (P022140) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1114811510
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAUREN ROSE WALLACECredential: MSW, LCSWA
Location Address3622 LYCKAN PKWY STE 5007Durham, NC 27707-2539
Mailing Address3622 Lyckan Pkwy Ste 5007Durham, NC 27707-2539 · (919) 748-3988
Phone(919) 924-5764
Sole ProprietorNo
Enumeration DateJune 9, 2025
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1114811510 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 NC · P022140
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.
3622 LYCKAN PKWY STE 5007, Durham, NC 27707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 9

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

ERIN KATZ MSW
Social Worker (Clinical)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (919) 590-0954
PAUL ELLIOTT DEMELLO LCMHC
Counselor (Mental Health)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (919) 884-7836
AMBER COX LCSWA
Social Worker (Clinical)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (919) 748-3988
MR. ERIC GEORGE AUTH LCSWA, LCASA
Social Worker (Clinical)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (919) 438-1115
LOLA TASAR
Counselor (Mental Health)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (783) 691-9884
LAUREN GILL MSW, LCSW-A
Social Worker (Clinical)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (919) 748-3988
JENNIFER LEIGH HARDISON WALTERS MSW, LCSWA
Social Worker (Clinical)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (919) 748-3988
MARIEL FELICIA EAVES MSW, LCSWA
Social Worker (Clinical)
3622 LYCKAN PKWY STE 5007
DURHAM, NC 27707
Durham County (919) 748-3988

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 Lauren Wallace's NPI number?

The NPI number for Lauren Wallace is 1114811510. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Lauren Wallace located?

Lauren Wallace practices at 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707. The listed phone number is (919) 924-5764.

What is Lauren Wallace's specialty?

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

What insurance does Lauren Wallace accept?

Health plans from Blue Cross and Blue Shield of NC list Lauren 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 Lauren Wallace was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.