Dana J. Wallace, Lcsw, LLC
NPI 1457280828ActiveOrganization· Social Worker, Clinical· Fort Walton Beach, FL
Social Worker, Clinical in Fort Walton Beach, Florida, registered in NPPES in May 2026. The authorized official on file is Dana Janelle Wallace, LCSW, LICSW, Social Worker/Psychtherapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457280828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2026 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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