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MS. JULIA WALLACE
NPI 1780126979
Social Worker - Clinical in San Francisco, CA

Active since November 06, 2016Opted out of Medicare · through Jul 1, 2028
110 GOUGH ST STE 402, SAN FRANCISCO, CA 94102(510) 290-9359 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2017, Nov 6, 2016 (2 updates tracked since 2016).

About Ms. Julia Wallace NPPES

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

MS. JULIA WALLACE (NPI 1780126979) is an individual clinical provider in San Francisco, California, licensed in California (25077) and active in the NPI registry since November 2016. She has opted out of Medicare through July 1, 2028 and is a graduate of Other (2003).

NPPES Registry Identity

NPI1780126979
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JULIA WALLACE
Location Address110 GOUGH ST STE 402San Francisco, CA 94102-5971
Mailing Address110 Gough St, Suite 402San Francisco, CA 94102-5945
Phone(510) 290-9359
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 6, 2016
Last NPPES UpdateJanuary 23, 20172 updates tracked since enumeration
✔ NPI 1780126979 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 · 25077
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.
110 GOUGH ST STE 402, San Francisco, CA 94102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Julia Wallace has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIJAH NELLA LMFT
Marriage & Family Therapist
110 GOUGH ST STE 402
SAN FRANCISCO, CA 94102
San Francisco County (415) 413-3339
SARA TIMTIM MD
Psychiatry & Neurology (Psychiatry)
110 GOUGH ST STE 402
SAN FRANCISCO, CA 94102
San Francisco County (619) 701-6204
DR. KATE HELLENGA PH.D.
Psychologist (Clinical)
110 GOUGH ST STE 402
SAN FRANCISCO, CA 94102
San Francisco County (628) 333-7534

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 Julia Wallace's NPI number?

The NPI number for Julia Wallace is 1780126979. It was assigned to this individual provider in the NPPES registry on November 6, 2016.

Where is Julia Wallace located?

Julia Wallace practices at 110 Gough St Ste 402, San Francisco, CA 94102. The listed phone number is (510) 290-9359.

What is Julia Wallace's specialty?

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

Is Julia Wallace enrolled in Medicare?

No. Julia Wallace has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Julia Wallace was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.