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

Brooke Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1083273627

Brooke Wallace, LCSW is a Clinical Social Worker in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

811 E Washington Ave
Madison, WI 53703-3688
Phone: (920) 252-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11135-123 (WI)

Record details

NPI number1083273627
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 7, 2019
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

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