Jody Lynn Wallace, LICSW
NPI 1841313590ActiveIndividual· Social Worker, Clinical· Amherst, MA
Social Worker, Clinical (LICSW) with Amherst Psychotherapy Practice PC, practicing in Amherst, Massachusetts. Medicare paid $34,739 for services to 39 patients in 2024.
Overview
| NPI | 1841313590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Apr 9, 2007 |
| Last updated in NPPES | Oct 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 113344 | MA |
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 (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 411 across 5 procedure codes |
| Paid by Medicare | $34,739 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Amherst Psychotherapy Practice PCAmherst, MA · 28 clinicians
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