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BRENETTA N. WALLACE
NPI 1720332646
Social Worker - Clinical in Frisco, TX

Active since October 30, 2012
2770 MAIN ST STE 229, FRISCO, TX 75033(714) 797-6015 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenetta N. Wallace NPPES

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

BRENETTA N. WALLACE (NPI 1720332646) is an individual clinical provider in Frisco, Texas, licensed in Texas (65193) and active in the NPI registry since October 2012. She maintains a secondary practice location in Tustin.

NPPES Registry Identity

NPI1720332646
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRENETTA N. WALLACE
Location Address2770 MAIN ST STE 229Frisco, TX 75033-4459
Mailing AddressPo Box 120692Arlington, TX 76012-0692 · (714) 797-6015
Phone(714) 797-6015
Sole ProprietorNo
Enumeration DateOctober 30, 2012
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1720332646 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 TX · 65193
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.
2770 MAIN ST STE 229, Frisco, TX 75033
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Secondary Practice Location 1

Location 118302 Irvine Blvd Ste 300Tustin, CA 92780-3437 · Phone (714) 979-2365

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 Brenetta Wallace's NPI number?

The NPI number for Brenetta Wallace is 1720332646. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Brenetta Wallace located?

Brenetta Wallace practices at 2770 Main St Ste 229, Frisco, TX 75033. The listed phone number is (714) 797-6015.

What is Brenetta 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 Brenetta Wallace was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.