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AYESHA WALLACE
NPI 1649522400
Social Worker - Clinical in Los Angeles, CA

Active since October 03, 2012
710 E 111TH PL, LOS ANGELES, CA 90059(323) 233-0425(323) 232-2366 Get Directions Write a Review

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ayesha Wallace NPPES

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

AYESHA WALLACE (NPI 1649522400) is an individual clinical provider in Los Angeles, California, licensed in California (79411) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1649522400
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAYESHA WALLACE
Location Address710 E 111TH PLLos Angeles, CA 90059-1518
Mailing Address4211 Avalon BlvdLos Angeles, CA 90011-5622 · (323) 233-0425 · Fax (323) 232-2366
Phone(323) 233-0425
Fax(323) 232-2366
Sole ProprietorNo
Enumeration DateOctober 3, 2012
Last NPPES UpdateSeptember 27, 2017
✔ NPI 1649522400 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 · 79411
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.
710 E 111TH PL, Los Angeles, CA 90059
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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.

CELIA YAMILETH LIMA PAYES
Social Worker (Clinical)
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (323) 474-0430
GUADALUPE MACIAS-VARGAS
Case Manager/Care Coordinator
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (323) 233-0425
DIANA GOMEZ
Case Manager/Care Coordinator
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (323) 233-0425
MARIA GONZALEZ
Social Worker
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (323) 233-0425
KATHLEEN WILLIAMS ACSW
Social Worker (Clinical)
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (323) 233-0425
HINDIRA N. CARIAS
Marriage & Family Therapist
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (562) 667-7439
ALMA ADAN
Case Manager/Care Coordinator
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (323) 233-0425
ROBERT ALTAMIRANO
Case Manager/Care Coordinator
710 E 111TH PL
LOS ANGELES, CA 90059
Los Angeles County (323) 233-0425

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 Ayesha Wallace's NPI number?

The NPI number for Ayesha Wallace is 1649522400. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Where is Ayesha Wallace located?

Ayesha Wallace practices at 710 E 111th Pl, Los Angeles, CA 90059. The listed phone number is (323) 233-0425.

What is Ayesha Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Ayesha Wallace was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.