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MRS. REBECCA ANN WALLACE MSW
NPI 1215243043
Social Worker - Clinical in Houston, TX

Active since August 31, 2010Opted out of Medicare · through Apr 1, 2028
4950 MEMORIAL DR, HOUSTON, TX 77007(713) 802-7714(713) 802-6230 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Rebecca Ann Wallace Msw NPPES

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

MRS. REBECCA ANN WALLACE MSW (NPI 1215243043) is an individual clinical provider in Houston, Texas, licensed in Texas (60516) and active in the NPI registry since August 2010. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1215243043
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. REBECCA ANN WALLACECredential: MSW
Location Address4950 MEMORIAL DRHouston, TX 77007-7440
Mailing Address4950 Memorial DrHouston, TX 77007-7440 · (713) 802-7714
Phone(713) 802-7714
Fax(713) 802-6230
Sole ProprietorNo
Enumeration DateAugust 31, 2010
Last NPPES UpdateJune 25, 2015
✔ NPI 1215243043 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
License✔ Licensed in TX · 60516
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 ListedSocial WorkerTaxonomy 104100000X
4950 MEMORIAL DR, Houston, TX 77007
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Rebecca Ann Wallace Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MR. PIERRE A. MATTA MA, LMFT
Marriage & Family Therapist
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (713) 558-3934
MS. VANESSA K AUSTIN LPC
Counselor (Mental Health)
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (713) 802-3837
MS. JENNIPHER MULHOLLEM LPC
Counselor (Professional)
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (713) 802-3832
ROSA HATCHER
Counselor (Mental Health)
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (713) 730-2335
MS. CYNTHIA J GILL LPC, LPA
Counselor (Professional)
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (713) 730-2335
MS. KRISTEN ELIZABETH ALLEN LCSW
Social Worker (Clinical)
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (713) 730-2335
JIMMIE CAROL BARRETT LPC LMFT
Marriage & Family Therapist
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (713) 730-2335
ROLANDA MICHELLE WHITE
Marriage & Family Therapist
4950 MEMORIAL DR
HOUSTON, TX 77007
Harris County (726) 228-3523

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 Rebecca Wallace's NPI number?

The NPI number for Rebecca Wallace is 1215243043. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Rebecca Wallace located?

Rebecca Wallace practices at 4950 Memorial Dr, Houston, TX 77007. The listed phone number is (713) 802-7714.

What is Rebecca Wallace's specialty?

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

Is Rebecca Wallace enrolled in Medicare?

No. Rebecca Wallace has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Wallace was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.