Annisha Wallace, LCSW
NPI 1346962768 · Clinical Social Worker · Phoenix, AZ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Annisha Wallace, LCSW is a Clinical Social Worker provider in Phoenix, AZ (NPI 1346962768).
Provider details
- NPI number
- 1346962768
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LMSW-18807 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2204 S Dobson Rd Ste 201Mesa, AZ 85202-6457Phone: (602) 230-7373Fax: (480) 629-8574
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Frequently asked questions
- What is Annisha Wallace's NPI number?
- Annisha Wallace's National Provider Identifier (NPI) is 1346962768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Annisha Wallace's specialty?
- Annisha Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Annisha Wallace located?
- Annisha Wallace's practice location on file with NPPES is 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536.
- What is Annisha Wallace's phone number?
- The practice phone number listed in the NPPES registry for Annisha Wallace is (602) 230-7373.
- Does Annisha Wallace accept Medicare?
- Annisha Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Annisha Wallace's NPI active?
- Yes — Annisha Wallace's NPI (1346962768) is active in the NPPES registry as of the last update on 2023-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.