Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336796374 Individual Practitioner Female Practitioner

Michelle Wallace , LCSW

Social Worker - Clinical • Bend, OR

Professional Overview & Biography Verified Profile Summary

Michelle Wallace, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Bend, OR. Practice services are available at 1340 NW WALL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1340 Nw Wall St

Bend, OR 977031985

Telephone 5413227500
Fax 5413227565
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1831464460

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
249 Specialists

Practicing in Bend, OR (5148 Statewide)

Telehealth Adoption Rate
10.8% 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: 2023-04-17
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L11322

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Anne Remsen , BA

Counselor - Mental Health

NPI 1003064973

Bachelor of Arts

Joanne White

Counselor - Mental Health

NPI 1003101395
Marissa Inman

Counselor - Mental Health

NPI 1003367459
Lindsey Hurtado

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003500836
Heather Welker , OT

Occupational Therapist

NPI 1003949140

Occupational Therapist

Tania Kneuer , OTL ASDCS

Occupational Therapist - Mental Health

NPI 1013064633

OTLASDCS

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated April 17, 2023

Recorded as MICHELLE WALLACE, LCSW

📍
Updated Practice Location July 16, 2021

Registered at 1340 NW WALL ST, BEND, OR 977031985 (Tel: 5413227500)

📍
Updated Business Mailing Address July 16, 2021

Registered at 2577 NE COURTNEY DR, BEND, OR 977017752 (Tel: 5413227500)

NPI Profile Active August 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2019

Registered at 369 NE REVERE AVE STE 101, BEND, OR 977014082 (Tel: 5417280062)

📍
Updated Business Mailing Address August 23, 2019

Registered at 3995 MARCOLA RD, SPRINGFIELD, OR 974777948 (Tel: 5417261465)

👤
Provider Name / Credentials Updated August 23, 2019

Recorded as MICHELLE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2019

Counselor

🟢
Initial NPI Registration & Enumeration August 23, 2019

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: 1336796374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2019
Last Update: April 17, 2023
Sole Proprietor: No

Mailing Address

2577 Ne Courtney Dr

Bend, OR 977017752

Phone: 5413227500

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.