CHRISTOPHER SCOTT WALLACE LCSW
NPI 1366974610
Social Worker - Clinical in Phoenix, AZ

Q: What is Christopher Wallace's NPI number?

The NPI number for Christopher Wallace is 1366974610. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Christopher Wallace's specialty?

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

Active since March 28, 2017

101 N 1ST AVE STE 2325, PHOENIX, AZ 85003(480) 569-1604 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2025, Mar 27, 2025, Mar 28, 2017 (3 updates tracked since 2017).

On this page

About Christopher Scott Wallace Lcsw NPPES

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

CHRISTOPHER SCOTT WALLACE LCSW (NPI 1366974610) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (22821) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1366974610

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCHRISTOPHER SCOTT WALLACECredential: LCSW

Location Address101 N 1ST AVE STE 2325Phoenix, AZ 85003-1933

Mailing Address101 N 1st Ave Ste 2325Phoenix, AZ 85003-1933 · (770) 714-9847 · Fax (757) 953-6091

Phone(480) 569-1604

Sole ProprietorYes

Enumeration DateMarch 28, 2017

Last NPPES UpdateApril 5, 20253 updates tracked since enumeration

NPPES CertifiedApril 5, 2025

✔ NPI 1366974610 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 AZ · 22821✔ Licensed in MD · 17443✔ Licensed in VA · 0904009872

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.

101 N 1ST AVE STE 2325, Phoenix, AZ 85003

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 5

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

SETH D HANSON PA-C

Physician Assistant