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

Yvonne Scott Wallace, LCSW

Individual provider Mental Health Counselor · NPI 1265521827

Yvonne Scott Wallace, LCSW is a Clinical Social Worker in Tucker, Georgia. Qualified in 1978, 48 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
48
Licensed in
GA
In the registry since
2006
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

3912 Cedar Cir
Tucker, GA 30084-7339
Phone: (770) 414-9742
Fax: (770) 414-8296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CSW001009 (GA)

Record details

NPI number1265521827
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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