P Praxis·MD
● Active Type 1 · Individual

Lisa Wallace, LCSW, LCDC

Social Worker·Georgetown, TX· NPI 1760958458 · Enumerated 2018 · 7 years on NPI
Wallace is 1 of 77 social worker providers in Georgetown and 1 of 12911 in Texas.
NPI age
7 years
Enumerated 2018-10-19
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 12911 active social worker providers in Texas.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-10Enumerated in NPPES
2018 2026

Where they practice

Practice location
2903 Gabriel View Dr
Georgetown, TX 786282707
📞 5128699254fax 5128636833
Mailing address
2903 Gabriel View Dr
Georgetown, TX 786282707
📞 5128699254

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    TX license #58545 taxonomy 1041C0700X
  • Counselor
    Definition to come...
    TX license #12442 taxonomy 101YA0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new social worker providers have been added in Georgetown in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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