THERESA ANNE WALLACE - NPI 1619370798 - Social Worker in Santa Ana, CA

Q: What is Theresa Wallace's NPI number?

The NPI number for Theresa Wallace is 1619370798. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Q: What is Theresa Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Wallace was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

On this page

About Theresa Anne Wallace NPPES

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

THERESA ANNE WALLACE (NPI 1619370798) is an individual clinical provider in Santa Ana, California, licensed in California (94659) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1619370798

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTHERESA ANNE WALLACE

Location Address1231 E DYER RD STE 135Santa Ana, CA 92705-5643

Mailing AddressPo Box 12Placentia, CA 92871-0012

Phone(949) 250-0488

Fax(714) 540-1908

Sole ProprietorNo

Enumeration DateOctober 2, 2014

Last NPPES UpdateJanuary 13, 20226 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2022

✔ NPI 1619370798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 94659

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.

1231 E DYER RD STE 135, Santa Ana, CA 92705

Open in Google Maps ↗

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.

MR. OSCAR RUIZ BA

Counselor (Mental Health)