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

Individual provider Clinical Social Worker · NPI 1972719938

Susan Lee Wallace, LCSW is a Clinical Social Worker in Santa Cruz, California. Works from 2 locations. Licensed in California.

Licensed in
CA
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.

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Practice location Address checks out

1510 Capitola Rd
Santa Cruz, CA 95062-2912
Phone: (831) 427-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 947 El Dorado Ave, Santa Cruz, CA 95062-2863 — (831) 479-7195

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15024 (CA)

Record details

NPI number1972719938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

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