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

Individual provider Clinical Social Worker · NPI 1619104742

Rachael Wallace, LCSW is a Clinical Social Worker in Baltimore, Maryland. Qualified in 2004, 22 years ago. Practices with Maryland Group Faculty Practice LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
22
Licensed in
MD
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

419 W Redwood St Ste 570
Baltimore, MD 21201-1734
Phone: (410) 328-6106
Fax: (410) 328-1130
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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 15076 (MD)

Record details

NPI number1619104742
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 16, 2009
Last updated in NPPESJune 17, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Maryland Group Faculty Practice Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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