Blake Wallace, CSWA
NPI 1518702976 · Clinical Social Worker · Portland, OR
Blake Wallace, CSWA is a Clinical Social Worker provider in Portland, OR (NPI 1518702976).
Provider details
- NPI number
- 1518702976
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- CSWA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 24-QMHP-R-2920 (OR)
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
2 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
- 2024-06-27
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Frequently asked questions
- What is Blake Wallace's NPI number?
- Blake Wallace's National Provider Identifier (NPI) is 1518702976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Wallace's specialty?
- Blake Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Blake Wallace located?
- Blake Wallace's practice location on file with NPPES is 3500 Ne Martin Luther King Jr Blvd Ste 200, Portland, OR 97212-2093.
- What is Blake Wallace's phone number?
- The practice phone number listed in the NPPES registry for Blake Wallace is (503) 327-8205.
- Is Blake Wallace's NPI active?
- Yes — Blake Wallace's NPI (1518702976) is active in the NPPES registry as of the last update on 2024-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.