Wanda Dannette Wallace, DSW, LCSW
NPI 1043866411ActiveIndividual· Social Worker, Clinical· Pensacola, FL
Social Worker, Clinical (DSW, LCSW) with Meridian Behavioral Health Inc and 1 other group, practicing in Pensacola, Florida. Medicare paid $26,987 for services to 38 patients in 2024.
Overview
| NPI | 1043866411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DSW, LCSW |
| Sole proprietor | No |
| NPI issued | Aug 12, 2019 |
| Last updated in NPPES | Aug 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW13939 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL); Practitioner - Clinical Social Worker (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 504 across 5 procedure codes |
| Paid by Medicare | $26,987 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Meridian Behavioral Health IncLouisville, KY · 18 clinicians
- Stone Ridge Counseling Center IncPensacola, FL · 3 clinicians
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All 310 clinical social workers in Pensacola · All clinical social workers in Florida