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Tyler Wallace, LMSW-CC
NPI 1043036874 · Clinical Social Worker · Portland, ME
Tyler Wallace, LMSW-CC is a Clinical Social Worker provider in Portland, ME (NPI 1043036874).
Provider details
- NPI number
- 1043036874
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW-CC
- Sex
- Male
- Sole proprietor
- No
- License
- MC24119 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 Washington Ave Ste 100
Portland, ME 04103-2842
Phone: (207) 871-1200
Fax: (207) 871-1232
Street-level locationGet directions
Mailing address
901 Washington Ave Ste 100
Portland, ME 04103-2842
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Frequently asked questions
- What is Tyler Wallace's NPI number?
- Tyler Wallace's National Provider Identifier (NPI) is 1043036874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Wallace's specialty?
- Tyler Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tyler Wallace located?
- Tyler Wallace's practice location on file with NPPES is 901 Washington Ave Ste 100, Portland, ME 04103-2842.
- What is Tyler Wallace's phone number?
- The practice phone number listed in the NPPES registry for Tyler Wallace is (207) 871-1200.
- Is Tyler Wallace's NPI active?
- Yes — Tyler Wallace's NPI (1043036874) is active in the NPPES registry as of the last update on 2024-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.