IndividualActive
Theresa Wallace
NPI 1619370798 · Clinical Social Worker · Santa Ana, CA
Theresa Wallace is a Clinical Social Worker provider in Santa Ana, CA (NPI 1619370798).
Provider details
- NPI number
- 1619370798
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 94659 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
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
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
1231 E Dyer Rd Ste 135
Santa Ana, CA 92705-5643
Phone: (949) 250-0488
Fax: (714) 540-1908
Street-level locationGet directions
Mailing address
Po Box 12
Placentia, CA 92871-0012
Registry dates
- Enumerated
- 2014-10-02
- Last updated
- 2022-01-13
- Certified
- 2022-01-13
Frequently asked questions
- What is Theresa Wallace's NPI number?
- Theresa Wallace's National Provider Identifier (NPI) is 1619370798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Wallace's specialty?
- Theresa Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Theresa Wallace located?
- Theresa Wallace's practice location on file with NPPES is 1231 E Dyer Rd Ste 135, Santa Ana, CA 92705-5643.
- What is Theresa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Theresa Wallace is (949) 250-0488.
- Is Theresa Wallace's NPI active?
- Yes — Theresa Wallace's NPI (1619370798) is active in the NPPES registry as of the last update on 2022-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.