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MICHELLE WALLACE LCSW
NPI 1336796374
Social Worker - Clinical in Bend, OR

Active since August 23, 2019PECOS Enrolled
1340 NW WALL ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2021, Aug 23, 2019 (2 updates tracked since 2019).

About Michelle Wallace Lcsw NPPES

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

MICHELLE WALLACE LCSW (NPI 1336796374) is an individual clinical provider in Bend, Oregon, licensed in Oregon (L11322) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336796374
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE WALLACECredential: LCSW
Location Address1340 NW WALL STBend, OR 97703-1985
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateAugust 23, 2019
Last NPPES UpdateApril 17, 20232 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
✔ NPI 1336796374 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 OR · L11322
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
1340 NW WALL ST, Bend, OR 97703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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)

Michelle 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 97703 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 20

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

MRS. HEATHER KRISTINE WELKER O.T.
Occupational Therapist
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
SHANNON NELSON
Peer Specialist
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
RACHEL ANADY
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
KELLY ANGELA OVERDORF
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
TERESA SCOTT DEL PRETE QMHA, CADC, PSS
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
MOLLY MARIE GARCIA-KAER M.A.
Counselor (Professional)
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
MELISSA JOI LOPEZ
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHELSEA AINSWORTH CASE MANAGER
Case Manager/Care Coordinator
1340 NW WALL ST
BEND, OR 97703
Deschutes County (541) 322-7500

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 Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1336796374. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Where is Michelle Wallace located?

Michelle Wallace practices at 1340 NW Wall St, Bend, OR 97703. The listed phone number is (541) 322-7500.

What is Michelle Wallace's specialty?

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

Is Michelle Wallace enrolled in Medicare?

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

What insurance does Michelle Wallace accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michelle 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 Michelle Wallace was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.