Salley A Wallin, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 2434 Issued in AZ

Practice address

10547 E Seven Generations Way # 201-11
Tucson, AZ 85747

Phone

(520) 282-1794

Fax

(520) 296-7579

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1700944907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17952",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857317952",
            "telephone_number": "520-282-1794",
            "fax_number": "520-296-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 E SEVEN GENERATIONS WAY # 201-11",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85747",
            "telephone_number": "520-282-1794",
            "fax_number": "520-296-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "SALLEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 2434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER #",
            "identifier": "597388",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven B Wallach, D.O.
• Keira Wallenborn, MA, CCC-SLP
• Kaylee Wallentine
• Candice Waller, LPC-MHSP
• Kurt David Wallin, D.M.D.
• Corinne Elizabeth Wallis, PT, DPT
• Helena Wallis, LMT
• Mara Wallisch, PT, DPT
• Chloe Grace Walls, DMD
• Walmart

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.