ANNISHA WALLACE LCSW
NPI 1346962768
Social Worker - Clinical in Phoenix, AZ

Active since September 13, 2022PECOS Enrolled
610 E BASELINE RD STE 5, PHOENIX, AZ 85042(602) 230-7373(602) 441-5836 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 28, 2023, Sep 13, 2022 (2 updates tracked since 2022).

About Annisha Wallace Lcsw NPPES

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

ANNISHA WALLACE LCSW (NPI 1346962768) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-21745) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1346962768
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNISHA WALLACECredential: LCSW
Location Address610 E BASELINE RD STE 5Phoenix, AZ 85042-6536
Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455
Fax(602) 441-5836
Sole ProprietorNo
Enumeration DateSeptember 13, 2022
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
NPI 1346962768 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 AZ · LCSW-21745
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 · License LMSW-18807 (AZ)
610 E BASELINE RD STE 5, Phoenix, AZ 85042

Secondary Practice Location 1

Location 12204 S Dobson Rd Ste 201Mesa, AZ 85202-6457 · Phone (602) 230-7373 · Fax (480) 629-8574

Accepted 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)

Annisha 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 85042 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Counselor (Professional)
610 E BASELINE RD STE 5
PHOENIX, AZ 85042
Counselor (Mental Health)
610 E BASELINE RD STE 5
PHOENIX, AZ 85042
Social Worker (Clinical)
610 E BASELINE RD STE 5
PHOENIX, AZ 85042
Counselor (Professional)
610 E BASELINE RD STE 5
PHOENIX, AZ 85042
Social Worker (Clinical)
610 E BASELINE RD STE 5
PHOENIX, AZ 85042
Marriage & Family Therapist
610 E BASELINE RD STE 5
PHOENIX, AZ 85042
Social Worker (Clinical)
610 E BASELINE RD STE 5
PHOENIX, AZ 85042
Physician Assistant
610 E BASELINE RD STE 5
PHOENIX, AZ 85042

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 Annisha Wallace's NPI number?

The NPI number for Annisha Wallace is 1346962768. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Annisha Wallace located?

Annisha Wallace practices at 610 E Baseline Rd Ste 5, Phoenix, AZ 85042. The listed phone number is (602) 230-7373.

What is Annisha Wallace's specialty?

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

Is Annisha Wallace enrolled in Medicare?

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

What insurance does Annisha Wallace accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Annisha 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 Annisha Wallace was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.