SUSAN LEE WALLACE LCSW
NPI 1972719938
Social Worker - Clinical in Santa Cruz, CA

Q: What is Susan Wallace's NPI number?

The NPI number for Susan Wallace is 1972719938. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Susan Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Wallace was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 15, 2007PECOS Enrolled

1510 CAPITOLA RD, SANTA CRUZ, CA 95062(831) 427-3500 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Susan Lee Wallace Lcsw NPPES

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

SUSAN LEE WALLACE LCSW (NPI 1972719938) is an individual clinical provider in Santa Cruz, California, licensed in California (15024) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1972719938

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSUSAN LEE WALLACECredential: LCSW

Location Address1510 CAPITOLA RDSanta Cruz, CA 95062-2912

Mailing Address947 El Dorado AveSanta Cruz, CA 95062-2863 · (831) 479-7195

Phone(831) 427-3500

Sole ProprietorNo

Enumeration DateMay 15, 2007

Last NPPES UpdateAugust 1, 2023

NPPES CertifiedAugust 1, 2023

✔ NPI 1972719938 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 · 15024

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.

1510 CAPITOLA RD, Santa Cruz, CA 95062

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Secondary Practice Location 1

Location 1947 El Dorado AveSanta Cruz, CA 95062-2863 · Phone (831) 479-7195

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Lee Wallace Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Cruz Community Health Centers

Same address

Clinic/Center

1510 CAPITOLA RD
Santa Cruz, CA 95062

Reassigned Medicare billing, California enrollment
50 clinicians in this Medicare group

NPI 1952749541 (831) 427-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95062 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 $62.97 – $186.69

Typical copayment $0.00 (range $15.74 – $46.67)

Most-billed visit code NA

Established Patient

$77.84 typical visit price

range $21.02 – $153.16

Typical copayment $19.46 (range $5.25 – $38.29)

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.

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.

KATHLEEN C HILTON N.P.

Nurse Practitioner (Family)