Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760958458 Individual Practitioner Female Practitioner

Lisa Wallace , LCSW, LCDC

Social Worker - Clinical • Georgetown, TX

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

Lisa Wallace, LCSW, LCDC is a registered healthcare professional specializing in Social Worker - Clinical in Georgetown, TX. Official NPI practice address is registered at 2903 GABRIEL VIEW DR.

Practice Location & Contact Primary Location

Practice Address

2903 Gabriel View Dr

Georgetown, TX 786282707

Telephone 5128699254
Fax 5128636833

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
70 Specialists

Practicing in Georgetown, TX (12037 Statewide)

Telehealth Adoption Rate
4.3% 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: 2021-10-28
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License TX 58545

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 - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License TX 12442

Definition to come...

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 28, 2021

Registered at 2903 GABRIEL VIEW DR, GEORGETOWN, TX 786282707 (Tel: 5128699254)

📍
Updated Business Mailing Address October 28, 2021

Registered at 2903 GABRIEL VIEW DR, GEORGETOWN, TX 786282707 (Tel: 5128699254)

👤
Provider Name / Credentials Updated October 28, 2021

Recorded as LISA WALLACE, LCSW, LCDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2021

Social Worker (License #58545 in TX)

NPI Profile Active October 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2018

Registered at 1009 N GEORGETOWN ST, ROUND ROCK, TX 786643289 (Tel: 5122551720)

📍
Updated Business Mailing Address October 19, 2018

Registered at 1009 N GEORGETOWN ST, ROUND ROCK, TX 786643289 (Tel: 5122551720)

👤
Provider Name / Credentials Updated October 19, 2018

Recorded as LISA WALLACE, LCDC & LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2018

Counselor (License #12442 in TX)

🟢
Initial NPI Registration & Enumeration October 19, 2018

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: 1760958458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2018
Last Update: October 28, 2021
Sole Proprietor: Yes

Mailing Address

2903 Gabriel View Dr

Georgetown, TX 786282707

Phone: 5128699254

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.