IndividualActive
Ayesha Wallace
NPI 1649522400 · Clinical Social Worker · Los Angeles, CA
Ayesha Wallace is a Clinical Social Worker provider in Los Angeles, CA (NPI 1649522400).
Provider details
- NPI number
- 1649522400
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 79411 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
710 E 111th Pl
Los Angeles, CA 90059-1518
Phone: (323) 233-0425
Fax: (323) 232-2366
Street-level locationGet directions
Mailing address
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2017-09-27
Frequently asked questions
- What is Ayesha Wallace's NPI number?
- Ayesha Wallace's National Provider Identifier (NPI) is 1649522400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ayesha Wallace's specialty?
- Ayesha Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ayesha Wallace located?
- Ayesha Wallace's practice location on file with NPPES is 710 E 111th Pl, Los Angeles, CA 90059-1518.
- What is Ayesha Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ayesha Wallace is (323) 233-0425.
- Is Ayesha Wallace's NPI active?
- Yes — Ayesha Wallace's NPI (1649522400) is active in the NPPES registry as of the last update on 2017-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.