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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LILLY JOY WALLACE LCSW
NPI 1164201711
Social Worker - Clinical in Visalia, CA

Active since September 25, 2023
520 E TULARE AVE, VISALIA, CA 93292(559) 786-3611 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Sep 10, 2024 (2 updates tracked since 2024).

About Lilly Joy Wallace Lcsw NPPES

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

LILLY JOY WALLACE LCSW (NPI 1164201711) is an individual clinical provider in Visalia, California, licensed in California (143054) and active in the NPI registry since September 2023. She maintains a secondary practice location in Hanford.

NPPES Registry Identity

NPI1164201711
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLILLY JOY WALLACECredential: LCSW
Location Address520 E TULARE AVEVisalia, CA 93292-3629
Mailing Address520 E Tulare AveVisalia, CA 93292-3629 · (559) 786-3611
Phone(559) 786-3611
Sole ProprietorYes
Enumeration DateSeptember 25, 2023
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1164201711 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 CA · 143054
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.
520 E TULARE AVE, Visalia, CA 93292
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Secondary Practice Location 1

Location 11393 Bailey StHanford, CA 93230-5922 · Phone (559) 582-4481

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.

ANNABEL S CEBALLOS
Licensed Psychiatric Technician
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
DR. HAMID QAISER SIAL MD
Psychiatry & Neurology (Psychiatry)
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (669) 327-8700
ANDY PHETSEDA CASE MANAGER
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
RAMONA GUTIERREZ
Peer Specialist
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
SARAH STOTZER
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0486
MARIO VENCES
Case Manager/Care Coordinator
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
DANIELLE L BRINSON CADC-CAS
Social Worker
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0900
JOHAN WALL LMFT
Marriage & Family Therapist
520 E TULARE AVE
VISALIA, CA 93292
Tulare County (559) 623-0908

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 Lilly Wallace's NPI number?

The NPI number for Lilly Wallace is 1164201711. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Lilly Wallace located?

Lilly Wallace practices at 520 E Tulare Ave, Visalia, CA 93292. The listed phone number is (559) 786-3611.

What is Lilly 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 Lilly Wallace was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.