Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366974610 Individual Practitioner Male Practitioner

Christopher Scott Wallace , LCSW

Social Worker - Clinical • Phoenix, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Christopher Wallace, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Phoenix, AZ. Official NPI practice address is registered at 101 N 1ST AVE STE 2325.

Practice Location & Contact Primary Location

Practice Address

101 N 1st Ave Ste 2325

Phoenix, AZ 850031933

Telephone 4805691604
Associated Practice Facility / Clinic
🏢 Az Mobile Health Llc Facility NPI 1477379964

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
802 Specialists

Practicing in Phoenix, AZ (3316 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-05
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License AZ 22821

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License MD 17443

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License VA 0904009872

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Seth Hanson , PA-C

Physician Assistant

NPI 1013695295

Physician Assistant (Certified)

Eric Henley , LMFT

Marriage & Family Therapist

NPI 1164901195

Licensed Marriage and Family Therapist

Bryan Herrera , RN

Registered Nurse

NPI 1730002486

Registered Nurse

Holly Tharbs

Nurse Practitioner - Family

NPI 1740157478

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 05, 2025

Registered at 101 N 1ST AVE STE 2325, PHOENIX, AZ 850031933 (Tel: 4805691604)

📍
Updated Business Mailing Address April 05, 2025

Registered at 101 N 1ST AVE STE 2325, PHOENIX, AZ 850031933 (Tel: 7707149847)

👤
Provider Name / Credentials Updated April 05, 2025

Recorded as CHRISTOPHER WALLACE, LCSW

NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2017

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082197 (Tel: 7579539603)

📍
Updated Business Mailing Address March 28, 2017

Registered at 4027 HOLSTON CT, SUFFOLK, VA 234353293 (Tel: 7579539603)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as CHRISTOPHER WALLACE, LCSW-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Social Worker (License #17443 in MD)

🟢
Initial NPI Registration & Enumeration March 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366974610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2017
Last Update: April 05, 2025
Sole Proprietor: Yes

Mailing Address

101 N 1st Ave Ste 2325

Phoenix, AZ 850031933

Phone: 7707149847

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.