Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457203176 Individual Practitioner Male Practitioner

Alexander Jeremy Wallace , MSW

Social Worker • Ceres, CA

Professional Overview & Biography Verified Profile Summary

Alexander Wallace, MSW is a registered healthcare professional specializing in Social Worker in Ceres, CA. Practice services are available at 1708 BANYAN CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1708 Banyan Ct

Ceres, CA 953071907

Telephone 2095312088
Associated Practice Facility / Clinic
🏢 Elite Family Systems Facility NPI 1679153142

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ceres, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Ceres, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% 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: 2026-02-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA ASW136556

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Latoya Blocker

Rehabilitation Practitioner

NPI 1073120275
Bill Sneed , MS

Occupational Therapist - Mental Health

NPI 1093432676

Master of Science

John Sarhadi

Community Health Worker

NPI 1134074909
David Abeyta , AMFT

Marriage & Family Therapist

NPI 1144074774

Associate Marriage and Family Therapist

Ashley Jackson

Marriage & Family Therapist

NPI 1245381318
Kristen White-Madsen , LCSW

Social Worker - Clinical

NPI 1295933380

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 13, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2026

Registered at 1708 BANYAN CT, CERES, CA 953071907 (Tel: 2095312088)

📍
Updated Business Mailing Address February 13, 2026

Registered at 701 N TUXEDO AVE, STOCKTON, CA 952045129

👤
Provider Name / Credentials Updated February 13, 2026

Recorded as ALEXANDER WALLACE, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2026

Social Worker (License #ASW136556 in CA)

🟢
Initial NPI Registration & Enumeration February 13, 2026

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: 1457203176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2026
Last Update: February 13, 2026
Sole Proprietor: Yes

Mailing Address

701 N Tuxedo Ave

Stockton, CA 952045129

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.