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

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  • 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
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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)
1104100000XBehavioral 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.
1215243043
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222544608
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 = 33

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 Therapist4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 730-2335
1235241753MRS. JANE ELIZABETH HAMILTON LCSW
Individual
Social Worker (Clinical)4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 730-2335
1194809475MS. KRISTEN ELIZABETH ALLEN LCSW
Individual
Social Worker (Clinical)4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 730-2335
1316026750MS. MOLLIE ELAINE ROBINS LPC
Individual
Counselor (Professional)4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 730-2335
1114097979MS. JENNIPHER MULHOLLEM LPC
Individual
Counselor (Professional)4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 802-3832
1699805267 KRISTINA FARMER LMFT
Individual
Marriage & Family Therapist4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 802-3897
1992923346DR. ELDA LANE COCO PH.D.
Individual
Social Worker (Clinical)4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 802-7745
1043414006MR. PIERRE A. MATTA MA, LMFT
Individual
Marriage & Family Therapist4950 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
1053501098MS. 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
1437346939MS. JOSEPHINE RUIZ OROSCO M.S., L.P.C.
Individual
Counselor (Professional)4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 730-2335
1811161797DR. MEGAN ANNE MOONEY PH.D.
Individual
Psychologist (Clinical)4950 MEMORIAL DR
HOUSTON, TX 77007
(713) 802-6236
1760716484DR. 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
1386922599MRS. 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.