MARY VIRGINIA WALLACE (NPI# 1811127947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811127947 |
| Entity Type | Individual |
| Full Name | MARY VIRGINIA WALLACE |
| Credential | LCSW, ACSW |
| Practice Address |
1401 N Central Expy Suite 375 Richardson TX 75080-4669 |
| Mailing Address |
9927 Burnham Dr Dallas TX 75243-2411 |
| Practice Telephone | 4694426001 |
| Practice Fax Number | 9722319009 |
| Mailing Telephone | 4694426001 |
| Mailing Fax Number | 4693306405 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
30861 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528585031 | Mary Wallace | Psychologist | 1605 E Ash St, Canton, IL 61520-1510 | 2017-08-25 |
| 1801136809 | Mary Etheridge Wallace | Counselor | 303 E. Main Street Suite 9, Elizabeth City, NC 27909 | 2013-02-27 |
| 1851541163 | Mary Caroline Wallace | Speech-Language Pathologist | 5 5th St Se, Washington, DC 20003-1119 | 2008-09-23 |
| 1245446723 | Mary Frances Wallace | Massage Therapist | 3301 River Ave, Huntington, WV 25705-2807 | 2007-05-14 |
| 1134253396 | Mary Beth Wallace | Speech-Language Pathologist | 2461 Highway 1, Harrisburg, AR 72432-9479 | 2007-03-16 |
| 1619045648 | Mary D Wallace | Social Worker | 105 Broadview Dr, Syracuse, NY 13215-1505 | 2006-11-30 |
| 1013451608 | Mary Elise Wallace | Dietitian, Registered | 3600 Gaston Ave, Suite 656, Dallas, TX 75246-1800 | 2016-12-15 |
| 1982156766 | Mary Terese Wallace | Dietitian, Registered | 700 Broadway, Seattle, WA 98122-4302 | 2016-10-27 |
| 1194173443 | Mary Wallace | Case Manager/Care Coordinator | 627 S Elliott Ave, Wenatchee, WA 98801-3195 | 2016-05-27 |
| 1255760898 | Mary Wallace | Counselor | 1818 Se Division St, Portland, OR 97202-1159 | 2013-11-04 |
| Street Address |
1401 N CENTRAL EXPY SUITE 375 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137973 | Patricia Norton Johnson | Counselor | 1401 N Central Expy, #375, Richardson, TX 75080-4669 | 2006-01-05 |
| 1922558022 | Rosanna Sanchez | Counselor | 1401 N Central Expy, 375, Richardson, TX 75080-4669 | 2016-10-12 |
| 1366996399 | Todd Osborn | Psychologist | 1401 N Central Expy, 385, Richardson, TX 75080-4669 | 2016-08-08 |
| 1598077026 | Amy M. Jones | Counselor | 1401 N Central Expy, Ste. 375, Richardson, TX 75080-4669 | 2010-07-13 |
| 1225260425 | Christina De Quesada | Counselor | 1401 N Central Expy, Suite 105, Richardson, TX 75080-4669 | 2009-08-20 |
| 1891923561 | Donald E Thompson | Counselor | 1401 N Central Expy, Richardson, TX 75080-4669 | 2009-07-01 |
| 1669506655 | Elizabeth Hodun Zedaran | Counselor | 1401 N Central Expy, #375, Richardson, TX 75080-4669 | 2007-03-14 |
| 1134282700 | John Murray Lehman | Psychologist | 1401 N Central Expy, Suite 385, Richardson, TX 75080-4669 | 2006-12-18 |
| 1316009459 | Karla Lee Zemler | Counselor | 1401 N Central Expy, Ste. 375, Richardson, TX 75080-4669 | 2006-12-14 |
| 1497813620 | Sandra J. Haram | Counselor | 1401 N Central Expy, Suite 375, Richardson, TX 75080-4669 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554569 | Anna Victoria Vaught | Social Worker | 885 E Collins Blvd Ste 108, Richardson, TX 75081-2270 | 2020-10-01 |
| 1508491754 | Latelma Nicole Turner | Social Worker | 224 W Campbell Rd # 178, Richardson, TX 75080-3512 | 2020-03-09 |
| 1548894181 | Michelle Meli | Social Worker | 833 E Arapaho Rd Ste 202c, Richardson, TX 75081-2269 | 2020-02-22 |
| 1942739073 | Peony Counseling | Social Worker | 718 W Arapaho Rd Ste 100, Richardson, TX 75080-4160 | 2017-06-12 |
| 1073047106 | Julie Marie Ennis | Social Worker | 1350 N Greenville Ave, Apt 3316, Richardson, TX 75081-2740 | 2017-04-15 |
| 1720535982 | Harriet Cohen | Social Worker | 1701 N Waterview Dr, Richardson, TX 75080-2937 | 2016-09-06 |
| 1083018261 | Toni Lynn Knox | Social Worker | 2200 Shannon Ln, Richardson, TX 75082-4728 | 2014-10-16 |
| 1346657376 | Lauren Kerner | Social Worker | 2007 N Collins Blvd Ste 303a, Richardson, TX 75080-2666 | 2014-07-22 |
| 1376965517 | Sara Arnold | Social Worker | 300 N Coit Rd Ste 1175, Richardson, TX 75080-5550 | 2014-01-07 |
| 1366886467 | Aaa Mental Health | Social Worker | 2007 N Collins Blvd Ste 503, Richardson, TX 75080-2672 | 2013-04-19 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.