Individual provider

Desiree Wallace

Addiction (Substance Use Disorder) Counselor

Desiree Wallace is an Addiction (Substance Use Disorder) Counselor in Baltimore, MD, registered under NPI 1104637461.

Getting there

The practice address on file is 3310 EASTERN AVE, Baltimore, MD 21224. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3310 EASTERN AVE, Baltimore, MD 21224 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ADT2383 MD Addiction (Substance Use Disorder)… primary

This provider holds licence ADT2383 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104637461 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 16, 2025
Last updatedJan 16, 2025
StatusActive
Sole proprietorNo
Practice address 3310 EASTERN AVE
Baltimore, MD 21224
(443) 708-5056
Mailing address 501 SAINT PAUL ST APT 1004
Baltimore, MD 21202
This record was updated on Jan 16, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104637461 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 3 7 4 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 3 5 4 3

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104637461?
NPI 1104637461 is the National Provider Identifier assigned to Desiree Wallace in Baltimore, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Desiree Wallace?
The phone number on file with NPPES is (443) 708-5056, last updated Jan 16, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104637461 a valid number?
Yes. 1104637461 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.