Michelle McCoy Wallace, LCSW

Clinical Social Worker · Hurst, TX

Individual Active NPI

NPI number 1831023357

Practice location

812 Park Forest Dr
Hurst, TX 76053-7100
Phone
(817) 929-3714

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NPI record

NPI
1831023357
Entity type
Individual (Type 1)
Enumeration date
June 10, 2026
Last updated
June 22, 2026
Certified
June 22, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 27809 TX

About Michelle Wallace

Michelle McCoy Wallace, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 812 Park Forest Dr, Hurst, TX 76053-7100. The NPI number 1831023357 was assigned on June 10, 2026 and the record was last updated on June 22, 2026.

Michelle Wallace lists a license in the registry: #27809 (TX) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michelle McCoy Wallace, LCSW?

The NPI number is 1831023357.

What is the phone number of Michelle Wallace?

The phone number listed for the practice location is (817) 929-3714.

Where is Michelle Wallace located?

812 Park Forest Dr, Hurst, TX 76053-7100.

What is the taxonomy code for Michelle Wallace?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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