Debra J. Wallace, LISW
NPI 1174631121ActiveIndividual· Social Worker· Charleston, SC
Social Worker (LISW) with University Medical Associates of the Medical University of South Carol, practicing in Charleston, South Carolina. Medicare paid $32,355 for services to 42 patients in 2024.
Overview
| NPI | 1174631121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6433 | SC |
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 (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 554 across 6 procedure codes |
| Paid by Medicare | $32,355 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- University Medical Associates of the Medical University of South CarolCharleston, SC · 1,668 clinicians
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All 189 social workers in Charleston · All social workers in South Carolina