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

Mary Virginia Wallace, LCSW, ACSW

Individual provider Clinical Social Worker · NPI 1811127947

Mary Virginia Wallace, LCSW, ACSW is a Clinical Social Worker in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
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

1401 N Central Expy Ste 375
Richardson, TX 75080-4669
Phone: (469) 442-6001
Fax: (972) 231-9009
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 30861 (TX)

Record details

NPI number1811127947
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , ACSW
Sole proprietorNo
NPI enumeratedJuly 23, 2009
Last updated in NPPESJuly 23, 2009

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