Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenetta N. Wallace

Individual provider Clinical Social Worker · NPI 1720332646

Brenetta N. Wallace is a Clinical Social Worker in Frisco, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2012

Practice location Address checks out

2770 Main St Ste 229
Frisco, TX 75033-4459
Phone: (714) 797-6015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18302 Irvine Blvd Ste 300, Tustin, CA 92780-3437 — (714) 979-2365

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 65193 (TX)

Record details

NPI number1720332646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2012
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 11, 2021
Mailing addressPo Box 120692, Arlington, TX 76012-0692

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