IndividualActive
Darryl Wallace, CSC-AD
NPI 1639047343 · Counselor · Baltimore, MD
Darryl Wallace, CSC-AD is a Counselor provider in Baltimore, MD (NPI 1639047343).
Provider details
- NPI number
- 1639047343
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- CSC-AD
- Sex
- Male
- Sole proprietor
- Yes
- License
- SC3481 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5900 York Rd Ste 201
Baltimore, MD 21212-3097
Phone: (443) 563-1021
Fax: (443) 869-3749
Approximate (ZIP-level) locationGet directions
Mailing address
5900 York Rd Ste 201
Baltimore, MD 21212-3097
Registry dates
- Enumerated
- 2025-10-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Darryl Wallace's NPI number?
- Darryl Wallace's National Provider Identifier (NPI) is 1639047343, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darryl Wallace's specialty?
- Darryl Wallace is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Darryl Wallace located?
- Darryl Wallace's practice location on file with NPPES is 5900 York Rd Ste 201, Baltimore, MD 21212-3097.
- What is Darryl Wallace's phone number?
- The practice phone number listed in the NPPES registry for Darryl Wallace is (443) 563-1021.
- Is Darryl Wallace's NPI active?
- Yes — Darryl Wallace's NPI (1639047343) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.