Dustin Wallace, LCSW
NPI 1528667060 · Clinical Social Worker · Glendale, AZ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dustin Wallace, LCSW is a Clinical Social Worker provider in Glendale, AZ (NPI 1528667060).
Provider details
- NPI number
- 1528667060
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- LCSW-21756
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
5 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
- 2020-10-24
- Last updated
- 2023-08-29
- Certified
- 2023-08-29
Frequently asked questions
- What is Dustin Wallace's NPI number?
- Dustin Wallace's National Provider Identifier (NPI) is 1528667060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dustin Wallace's specialty?
- Dustin Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dustin Wallace located?
- Dustin Wallace's practice location on file with NPPES is 4619 W Saguaro Dr, Glendale, AZ 85304-4424.
- What is Dustin Wallace's phone number?
- The practice phone number listed in the NPPES registry for Dustin Wallace is (602) 999-3355.
- Does Dustin Wallace accept Medicare?
- Dustin Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dustin Wallace's NPI active?
- Yes — Dustin Wallace's NPI (1528667060) is active in the NPPES registry as of the last update on 2023-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.