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

Susan Moore-Wallace

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790357796

Susan Moore-Wallace is a Mental Health Counselor in Pottstown, Pennsylvania. Qualified in 1997, 29 years ago. Practices with Creative Health Services, Inc, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
29
In the registry since
2021
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Practice location Address checks out

11 Robinson St
Pottstown, PA 19464-6421
Phone: (484) 941-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1790357796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2021
Last updated in NPPESJuly 11, 2021
Certification dateJuly 11, 2021
Mailing address11 Robinson St, Pottstown, PA 19464-6421

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Creative Health Services, Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pottstown