MS. BETHANY WALLACE LCSW
NPI 1992987754
Social Worker - Clinical in Salem, OR

Active since December 03, 2007
2450 LANCASTER DR NE, SALEM, OR 97305(503) 783-4004 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bethany Wallace Lcsw NPPES

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

MS. BETHANY WALLACE LCSW (NPI 1992987754) is an individual clinical provider in Salem, Oregon, licensed in Oregon (5807) and active in the NPI registry since December 2007. She maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1992987754
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BETHANY WALLACECredential: LCSW
Location Address2450 LANCASTER DR NESalem, OR 97305-1130
Mailing Address3624 Commercial St Se Unit 4364Salem, OR 97302-6712 · (503) 783-4004
Sole ProprietorNo
Enumeration DateDecember 3, 2007
Last NPPES UpdateJune 2, 2025
NPPES CertifiedJune 2, 2025
NPI 1992987754 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 OR · 5807
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.
2450 LANCASTER DR NE, Salem, OR 97305

Other Names 1

Former Name (1)Bethany Butler Msw

Secondary Practice Location 1

Location 11815 Church St SESalem, OR 97302-3016 · Phone (503) 783-4004

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Speech-Language Pathologist
2450 LANCASTER DR NE
SALEM, OR 97305
Dentist (Orthodontics and Dentofacial Orthopedics)
2450 LANCASTER DR NE, SUITE 200
SALEM, OR 97305

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 Bethany Wallace's NPI number?

The NPI number for Bethany Wallace is 1992987754. It was assigned to this individual provider in the NPPES registry on December 3, 2007. The provider is also known as Bethany Butler Msw.

Where is Bethany Wallace located?

Bethany Wallace practices at 2450 Lancaster Dr NE, Salem, OR 97305. The listed phone number is (503) 783-4004.

What is Bethany Wallace's specialty?

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

What insurance does Bethany Wallace accept?

Health plans from PacificSource Health Plans list Bethany Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Wallace was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.