Jeffrey Wallace, LICSW, MSW, CDP, MHP
NPI 1538557012 · Mental Health Counselor · Spokane, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Wallace, LICSW, MSW, CDP, MHP is a Mental Health Counselor provider in Spokane, WA (NPI 1538557012).
Provider details
- NPI number
- 1538557012
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LICSW, MSW, CDP, MHP
- Sex
- Male
- Sole proprietor
- Yes
- License
- SC60493319 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
11 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)
- 22 S. Thor St.Spokane, WA 99202Phone: (509) 532-2000Fax: (509) 532-2005
Registry dates
- Enumerated
- 2015-01-06
- Last updated
- 2019-01-28
Frequently asked questions
- What is Jeffrey Wallace's NPI number?
- Jeffrey Wallace's National Provider Identifier (NPI) is 1538557012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Wallace's specialty?
- Jeffrey Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jeffrey Wallace located?
- Jeffrey Wallace's practice location on file with NPPES is 400 S Jefferson St Ste 200, Spokane, WA 99204-3143.
- What is Jeffrey Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Wallace is (509) 822-8662.
- Does Jeffrey Wallace accept Medicare?
- Jeffrey Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Wallace's NPI active?
- Yes — Jeffrey Wallace's NPI (1538557012) is active in the NPPES registry as of the last update on 2019-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.