Tessa Waterbury Wallace, LCSW
NPI 1578705950 · Clinical Social Worker · White Salmon, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tessa Waterbury Wallace, LCSW is a Clinical Social Worker provider in White Salmon, WA (NPI 1578705950).
Provider details
- NPI number
- 1578705950
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- L4499 (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
17 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)
- 1620 E 12th StThe Dalles, OR 97058Phone: (541) 296-9151Fax: (541) 296-9156
Registry dates
- Enumerated
- 2009-03-31
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Frequently asked questions
- What is Tessa Waterbury Wallace's NPI number?
- Tessa Waterbury Wallace's National Provider Identifier (NPI) is 1578705950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tessa Waterbury Wallace's specialty?
- Tessa Waterbury Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tessa Waterbury Wallace located?
- Tessa Waterbury Wallace's practice location on file with NPPES is 65371 Hwy 14, White Salmon, WA 98672-9867.
- What is Tessa Waterbury Wallace's phone number?
- The practice phone number listed in the NPPES registry for Tessa Waterbury Wallace is (509) 493-2133.
- Does Tessa Waterbury Wallace accept Medicare?
- Tessa Waterbury Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tessa Waterbury Wallace's NPI active?
- Yes — Tessa Waterbury Wallace's NPI (1578705950) is active in the NPPES registry as of the last update on 2025-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.