Cynthia Wallace, LICSW
NPI 1093075913 · Clinical Social Worker · Walla Walla, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cynthia Wallace, LICSW is a Clinical Social Worker provider in Walla Walla, WA (NPI 1093075913).
Provider details
- NPI number
- 1093075913
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LW00009476 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs 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
Mailing address
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2012-05-24
Frequently asked questions
- What is Cynthia Wallace's NPI number?
- Cynthia Wallace's National Provider Identifier (NPI) is 1093075913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cynthia Wallace's specialty?
- Cynthia Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Cynthia Wallace located?
- Cynthia Wallace's practice location on file with NPPES is 19 E Birch St Ste 103, Walla Walla, WA 99362-3084.
- What is Cynthia Wallace's phone number?
- The practice phone number listed in the NPPES registry for Cynthia Wallace is (509) 200-7290.
- Does Cynthia Wallace accept Medicare?
- Cynthia Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cynthia Wallace's NPI active?
- Yes — Cynthia Wallace's NPI (1093075913) is active in the NPPES registry as of the last update on 2012-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.