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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.

MAX WALLACE LCSW
NPI 1235917105
Social Worker - Clinical in Albany, OR

Active since September 20, 2023PECOS Enrolled
1700 GEARY ST SE STE 200300A, ALBANY, OR 97322(541) 812-5570 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Max Wallace Lcsw NPPES

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

MAX WALLACE LCSW (NPI 1235917105) is an individual clinical provider in Albany, Oregon, licensed in Oregon (L18177) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1235917105
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAX WALLACECredential: LCSW
Location Address1700 GEARY ST SE STE 200300AAlbany, OR 97322-6842
Mailing Address7809 Hickory StNew Orleans, LA 70118-4126
Phone(541) 812-5570
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
Last NPPES UpdateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
✔ NPI 1235917105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OR · L18177✔ Licensed in LA · 16308
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.
1700 GEARY ST SE STE 200300A, Albany, OR 97322
Open in Google Maps ↗

Secondary Practice Location 1

Location 1716 Adams StNew Orleans, LA 70118-3931 · Phone (504) 446-6212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Max 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 97322 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 2

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

DR. JOHN R. WARD JR. M.D.
Family Medicine
1700 GEARY ST SE STE 200300A
ALBANY, OR 97322
Linn County (541) 812-5570
NATHAN DANIEL BARLOW PA-C
Physician Assistant
1700 GEARY ST SE STE 200300A
ALBANY, OR 97322
Linn County (541) 812-5570

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 Max Wallace's NPI number?

The NPI number for Max Wallace is 1235917105. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Max Wallace located?

Max Wallace practices at 1700 Geary St SE Ste 200300A, Albany, OR 97322. The listed phone number is (541) 812-5570.

What is Max Wallace's specialty?

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

Is Max Wallace enrolled in Medicare?

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

What insurance does Max Wallace accept?

Health plans from UnitedHealthcare list Max 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 Max Wallace was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.