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

MS. Bethany Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1992987754

MS. Bethany Wallace, LCSW is a Clinical Social Worker in Salem, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2450 Lancaster Dr NE
Salem, OR 97305-1130
Phone: (503) 783-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1815 Church St Se, Salem, OR 97302-3016 — (503) 783-4004

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5807 (OR)

Record details

NPI number1992987754
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 3, 2007
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address3624 Commercial St Se Unit 4364, Salem, OR 97302-6712

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