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MISS LURA WALLACE LISW
NPI 1629141635
Social Worker - Clinical in Las Cruces, NM

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
1990E LOHMAN AVE 204, LAS CRUCES, NM 88001(575) 525-0304(575) 524-4813 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Lura Wallace Lisw NPPES

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

MISS LURA WALLACE LISW (NPI 1629141635) is an individual clinical provider in Las Cruces, New Mexico, licensed in New Mexico (I-3362) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1629141635
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS LURA WALLACECredential: LISW
Location Address1990E LOHMAN AVE 204Las Cruces, NM 88001-3172
Mailing Address1300g El Paseo Rd 201Las Cruces, NM 88001-6024 · (575) 525-0304 · Fax (575) 524-4813
Phone(575) 525-0304
Fax(575) 524-4813
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 16, 2006
Last NPPES UpdateSeptember 10, 2015
✔ NPI 1629141635 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 NM · I-3362
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.
1990E LOHMAN AVE 204, Las Cruces, NM 88001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Lura Wallace Lisw 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.

PECOS PAC ID7618157264
PECOS Enrollment IDI20110214000871
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.

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
217 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88001 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 $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Lura Wallace's NPI number?

The NPI number for Lura Wallace is 1629141635. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Lura Wallace located?

Lura Wallace practices at 1990E Lohman Ave 204, Las Cruces, NM 88001. The listed phone number is (575) 525-0304.

What is Lura Wallace's specialty?

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

Is Lura Wallace enrolled in Medicare?

Yes. Lura 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.

When was this NPI record last updated?

The NPPES record for Lura Wallace was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.