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Provider Profile

Ayesha Wallace

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At a glance

About Ayesha Wallace

Ayesha Wallace is a clinical social worker practicing in Los Angeles, CA. This provider record is associated with NPI 1649522400.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

CA · Licensed Clinical Social WorkerCalifornia Board of Behavioral Sciences
No. 79411CurrentExpires Feb 2027Since 2014
NPINational Provider Identifier
1649522400Issued 2012

Snapshot · verify with the board ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Ayesha Wallace's specialty?

Ayesha Wallace is a clinical social worker in Los Angeles, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Ayesha Wallace?

Ayesha Wallace is listed at 710 E 111Th Pl, Los Angeles, CA 90059. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Ayesha Wallace?

The number on file is (323) 233-0425. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ayesha Wallace's NPI number?

Ayesha Wallace's National Provider Identifier is 1649522400. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Ayesha Wallace been practicing?

Ayesha Wallace has 14+ years experience. Registered with an NPI since 2012. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Ayesha Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ayesha Wallace. If this is you, claiming it is free.

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