RACHAEL WALLACE LCSW
NPI 1619104742
Social Worker - Clinical in Baltimore, MD
About Rachael Wallace Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHAEL WALLACE LCSW (NPI 1619104742) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (15076) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rachael Wallace Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Rachael Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21201
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 Rachael Wallace's NPI number?
The NPI number for Rachael Wallace is 1619104742. It was assigned to this individual provider in the NPPES registry on June 16, 2009.
Where is Rachael Wallace located?
Rachael Wallace practices at 419 W Redwood St Suite 570, Baltimore, MD 21201. The listed phone number is (410) 328-6106.
What is Rachael Wallace's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Rachael Wallace enrolled in Medicare?
Yes. Rachael Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rachael Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Wallace reassigns Medicare benefits to Maryland Group Faculty Practice LLC (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachael Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rachael Wallace was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Rachael Wallace, LCSW · NPI 1619104742
Clinical provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 16, 2009.
## Identity
- **NPI:** 1619104742 (Entity type: Individual)
- **Enumerated:** June 16, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 15076 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 419 W REDWOOD ST, SUITE 570, Baltimore, MD 21201-1734
- **Phone:** (410) 328-6106 · **Fax:** (410) 328-1130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Maryland Group Faculty Practice LLC (NPI 1104036300, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 17, 2009
- **Other identifiers:** Medicare UPIN 601 L (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1619104742) · Data from the CMS NPPES public registry.