MRS. REBECCA ANN WALLACE MSW
NPI 1215243043
Social Worker - Clinical in Houston, TX
NPI Status: Active since August 31, 2010
Contact Information
4950 MEMORIAL DR
HOUSTON, TX
ZIP 77007
Phone: (713) 802-7714
Fax: (713) 802-6230
- Individual
- Female
- Social Worker
- Clinical
- Opted-Out Medicare
About REBECCA WALLACE
This page provides the complete NPI Profile along with additional information for Rebecca Wallace, a provider established in Houston, Texas with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215243043 assigned on August 2010. The practitioner's primary taxonomy code is 1041C0700X with license number 60516 (TX). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1215243043
- Provider Name
- MRS. REBECCA ANN WALLACE MSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4950 MEMORIAL DR HOUSTON, TX 77007
- Location Phone
- (713) 802-7714
- Location Fax
- (713) 802-6230
- Mailing Address
- 4950 MEMORIAL DR HOUSTON, TX 77007
- Mailing Phone
- (713) 802-7714
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2010
- Last Update Date
- 06-25-2015
- Code Navigator
A clinical social worker like Rebecca Wallace is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rebecca Wallace opted out of Medicare effective on 04-01-2024 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 60516
- License State
- TX
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-01-2024
Opt-Out End Date: 04-01-2026
Eligible to Order and Refer? No
Reviews for MRS. REBECCA ANN WALLACE MSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 1 | 5 | 2 | 4 | 3 | 0 | 4 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 2 | 5 | 4 | 4 | 6 | 0 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 2 + 5 + 4 + 4 + 6 + 0 + 8 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1215243043 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1194839738 | JIMMIE CAROL BARRETT LPC LMFT Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1336253970 | MERCEDES VILLARREAL LPC Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1821102385 | HOLLIE BARALDI LMFT Individual | Marriage & Family Therapist | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1235241753 | MRS. JANE ELIZABETH HAMILTON LCSW Individual | Social Worker (Clinical) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1194809475 | MS. KRISTEN ELIZABETH ALLEN LCSW Individual | Social Worker (Clinical) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1316026750 | MS. MOLLIE ELAINE ROBINS LPC Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1114097979 | MS. JENNIPHER MULHOLLEM LPC Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 802-3832 |
1699805267 | KRISTINA FARMER LMFT Individual | Marriage & Family Therapist | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 802-3897 |
1992923346 | DR. ELDA LANE COCO PH.D. Individual | Social Worker (Clinical) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 802-7745 |
1043414006 | MR. PIERRE A. MATTA MA, LMFT Individual | Marriage & Family Therapist | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 558-3934 |
1689870891 | SHAZIA RANEE LIGHTSEY LPC Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 802-7625 |
1053501098 | MS. VANESSA K AUSTIN LPC Individual | Counselor (Mental Health) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 802-3837 |
1699969741 | CHRISTOPHER SEAN MOSES LPC Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 802-6310 |
1437346939 | MS. JOSEPHINE RUIZ OROSCO M.S., L.P.C. Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1811161797 | DR. MEGAN ANNE MOONEY PH.D. Individual | Psychologist (Clinical) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 802-6236 |
1760716484 | DR. ADRIENNE NICOLE TINDER PH.D. Individual | Psychologist (Clinical) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 558-3912 |
1861790008 | NIKKI AQUIA WATSON LCSW Individual | Social Worker (Clinical) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 861-8136 |
1386922599 | MRS. SUSANA DENISE BYRON LCSW Individual | Social Worker (Clinical) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1497034334 | ANNETTE MARIE MUNGUIA LPC Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
1386767846 | CARI M PURDY LPC Individual | Counselor (Professional) | 4950 MEMORIAL DR HOUSTON, TX 77007 (713) 730-2335 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215243043, enumerated in the NPI registry as an "individual" on August 31, 2010
The provider is located at 4950 Memorial Dr Houston, Tx 77007 and the phone number is (713) 802-7714
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
No, the provider signed an affidavit on April 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 01, 2026.
This NPI record was last updated on August 31, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.