MRS. BROOKE MARY WALLACE (LCSW, BCD) – Clinical Social Worker, NPI 1730228057

MRS. BROOKE MARY WALLACE (LCSW, BCD) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in Clinical Social Worker. They hold the professional credentials LCSW, BCD. They hold a License No. 51643 (TX). The NPI Number for MRS. BROOKE MARY WALLACE (LCSW, BCD) is 1730228057

Main info

Female
Sole Proprietor
Name
MRS. BROOKE MARY WALLACE (LCSW, BCD)
NPI
1730228057
Phone
(210) 508-9058
Address
3551 ROGER BROOKE DR
Enumeration Date
5 February 2007
Last Update Date
17 April 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. BROOKE MARY WALLACE (LCSW, BCD)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 508-9058

    Type: Mailing

  • 2200 BERGQUIST DR

    SUITE 1

    LACKLAND A F B, TX 782369907

    Phone: (210) 508-9058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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Reviews

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Frequently asked questions

What is MRS. BROOKE MARY WALLACE (LCSW, BCD)'s NPI number?
MRS. BROOKE MARY WALLACE (LCSW, BCD)'s NPI is 1730228057 — the number used across U.S. healthcare to identify this provider.
Is MRS. BROOKE MARY WALLACE (LCSW, BCD) still an active registrant?
MRS. BROOKE MARY WALLACE (LCSW, BCD) carries an active NPI according to the public dataset.
What kind of doctor is MRS. BROOKE MARY WALLACE (LCSW, BCD)?
MRS. BROOKE MARY WALLACE (LCSW, BCD) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is MRS. BROOKE MARY WALLACE (LCSW, BCD) registered?
Use Jbsa Ft Sam Houston, Texas as the headline location for MRS. BROOKE MARY WALLACE (LCSW, BCD) here.
When was this NPI issued?
Enumeration for MRS. BROOKE MARY WALLACE (LCSW, BCD) is noted as February 5, 2007 where the registry provides it.

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