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Mrs. Tessa Waterbury Wallace, LCSW

Clinical Social Worker in White Salmon, WA · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578705950

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Registry record

Entity type Individual (Type 1)
Name Mrs. Tessa Waterbury Wallace
Credential LCSW
Sex Female
Practice address 65371 Hwy 14, White Salmon, WA, 98672
Phone (509) 493-2133
Enumeration date Mar 31, 2009
Last updated in NPPES Jan 13, 2025

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License L4499 (OR) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LW60171285 (WA) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier Type State Issuer
2014480 Medicaid WA -
218112 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Tessa Waterbury Wallace?
Tessa Waterbury Wallace is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-13.