TUCKER WALLACE
NPI 1205499811
Social Worker - Clinical in St George, UT

Active since April 18, 2019
249 E TABERNACLE ST STE 100, ST GEORGE, UT 84770(435) 705-7574 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 18, 2022, Apr 18, 2019 (2 updates tracked since 2019).

About Tucker Wallace NPPES

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

TUCKER WALLACE (NPI 1205499811) is an individual clinical provider in St George, Utah and active in the NPI registry since April 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205499811
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTUCKER WALLACE
Location Address249 E TABERNACLE ST STE 100St George, UT 84770-2951
Mailing Address444 S Main St Ste C7Cedar City, UT 84720-3442 · (435) 233-6981
Sole ProprietorNo
Enumeration DateApril 18, 2019
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
NPI 1205499811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
249 E TABERNACLE ST STE 100, St George, UT 84770

Secondary Practice Locations 2

Location 11875 S Geneva RdOrem, UT 84058-2217 · Phone (801) 437-0490
Location 2444 S Main St Ste C7Cedar City, UT 84720 · Phone (435) 233-6981

Accepted Insurance

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.

Community Health Worker
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770
Community Health Worker
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770
Community Health Worker
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770
Community Health Worker
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770
Community Health Worker
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770
Community Health Worker
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770
Community Health Worker
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770
Behavior Technician
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770

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 Tucker Wallace's NPI number?

The NPI number for Tucker Wallace is 1205499811. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Tucker Wallace located?

Tucker Wallace practices at 249 E Tabernacle St Ste 100, St George, UT 84770. The listed phone number is (435) 705-7574.

What is Tucker Wallace's specialty?

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

What insurance does Tucker Wallace accept?

Health plans from Select Health and University of Utah Health Plans list Tucker 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 Tucker Wallace was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.