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

Michelle McCoy Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1831023357

Michelle McCoy Wallace, LCSW is a Clinical Social Worker in Hurst, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026
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

812 Park Forest Dr
Hurst, TX 76053-7100
Phone: (817) 929-3714
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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 27809 (TX)

Record details

NPI number1831023357
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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