Cindy Wallace, LCSW
NPI 1114395274 · Clinical Social Worker · South Jordan, UT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cindy Wallace, LCSW is a Clinical Social Worker provider in South Jordan, UT (NPI 1114395274).
Provider details
- NPI number
- 1114395274
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 10140193-3501 (UT)
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
10 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
- 2015-09-07
- Last updated
- 2020-06-18
- Certified
- 2020-06-18
Frequently asked questions
- What is Cindy Wallace's NPI number?
- Cindy Wallace's National Provider Identifier (NPI) is 1114395274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cindy Wallace's specialty?
- Cindy Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Cindy Wallace located?
- Cindy Wallace's practice location on file with NPPES is 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095-5519.
- What is Cindy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Cindy Wallace is (801) 302-3801.
- Does Cindy Wallace accept Medicare?
- Cindy Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cindy Wallace's NPI active?
- Yes — Cindy Wallace's NPI (1114395274) is active in the NPPES registry as of the last update on 2020-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.