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

Lisa Wallace, LCSW, LCDC

Individual provider Clinical Social Worker · NPI 1760958458

Lisa Wallace, LCSW, LCDC is a Clinical Social Worker in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
2
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

2903 Gabriel View Dr
Georgetown, TX 78628-2707
Phone: (512) 869-9254
Fax: (512) 863-6833
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 58545 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12442 (TX)

Record details

NPI number1760958458
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCDC
Sole proprietorYes
NPI enumeratedOctober 19, 2018
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address2903 Gabriel View Dr, Georgetown, TX 78628-2707

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