Dylan Wallace, LCSW, QCSW
NPI 1982269155 · Clinical Social Worker · Plymouth, MA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dylan Wallace, LCSW, QCSW is a Clinical Social Worker provider in Plymouth, MA (NPI 1982269155).
Provider details
- NPI number
- 1982269155
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, QCSW
- Sex
- Male
- Sole proprietor
- No
- License
- SWI.LW.61224850 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
7 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)
- 1469 N 1200 WOrem, UT 84057-2449Phone: (801) 655-5450Fax: (385) 225-9327
Registry dates
- Enumerated
- 2019-05-03
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Dylan Wallace's NPI number?
- Dylan Wallace's National Provider Identifier (NPI) is 1982269155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dylan Wallace's specialty?
- Dylan Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dylan Wallace located?
- Dylan Wallace's practice location on file with NPPES is 34 Main Street Ext Ste 104, Plymouth, MA 02360-3375.
- What is Dylan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Dylan Wallace is (801) 655-5450.
- Does Dylan Wallace accept Medicare?
- Dylan Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dylan Wallace's NPI active?
- Yes — Dylan Wallace's NPI (1982269155) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.