MRS. BROOKE MARY WALLACE LCSW, BCD
NPI 1730228057
Social Worker - Clinical in Lackland A F B, TX

Active since February 05, 2007
2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 78236(210) 508-9058 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brooke Mary Wallace Lcsw, Bcd NPPES

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

MRS. BROOKE MARY WALLACE LCSW, BCD (NPI 1730228057) is an individual clinical provider in Lackland A F B, Texas, licensed in Texas (51643) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1730228057
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. BROOKE MARY WALLACECredential: LCSW, BCD
Location Address2200 BERGQUIST DR, SUITE 1Lackland A F B, TX 78236-9907
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (210) 508-9058
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateApril 17, 2018
NPI 1730228057 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 · 51643
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.
2200 BERGQUIST DR, Lackland A F B, TX 78236

Other Names 1

Other Name (5)Mrs. Brooke Mary Wallace Lcsw, Bcd

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.

Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, SUITE 1 (ATTN:CREDENTIALS (CMC))
LACKLAND A F B, TX 78236
Emergency Medicine
2200 BERGQUIST DR, WILFORD HALL MED CTR, STE 1,DEPT. OF EMERGENCY MEDICINE
LACKLAND A F B, TX 78236
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR
LACKLAND A F B, TX 78236
Optometrist
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Dentist
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Dentist (General Practice)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236

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 Brooke Wallace's NPI number?

The NPI number for Brooke Wallace is 1730228057. It was assigned to this individual provider in the NPPES registry on February 5, 2007. The provider is also known as Mrs. Brooke Mary Wallace Lcsw, Bcd.

Where is Brooke Wallace located?

Brooke Wallace practices at 2200 Bergquist Dr Suite 1, Lackland A F B, TX 78236. The listed phone number is (210) 508-9058.

What is Brooke 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 Brooke Wallace was last updated on April 17, 2018. 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.