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

Miss. Lura Wallace, LISW

Individual provider Clinical Social Worker · NPI 1629141635

Miss. Lura Wallace, LISW is a Clinical Social Worker in Las Cruces, New Mexico. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
32
Licensed in
NM
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1990E Lohman Ave 204
Las Cruces, NM 88001-3172
Phone: (575) 525-0304
Fax: (575) 524-4813
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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 I-3362 (NM)

Record details

NPI number1629141635
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESSeptember 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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