| Codie Wallace, MSW | |
|
2510 E 15th St, Suite 11, Casper, WY 82609-4111 | |
| (307) 234-9979 | |
| (307) 234-9989 |
| Full Name | Codie Wallace |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 2510 E 15th St, Casper, Wyoming |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073759429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 800 (Wyoming) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Codie Wallace, MSW 2510 E 15th St, Suite 11, Casper, WY 82609-4111 Ph: (307) 234-9979 | Codie Wallace, MSW 2510 E 15th St, Suite 11, Casper, WY 82609-4111 Ph: (307) 234-9979 |
Laura Carol Long, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Werner Ct Ste 300, Casper, WY 82601 Phone: 307-247-3901 |
Mrs. Brenna Nichole Gatimu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Werner Ct Ste 322, Casper, WY 82601 Phone: 307-259-5657 |
William Burland Maurer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-233-6000 Fax: 307-472-3308 |
Brooke Martin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Werner Ct Ste 300, Casper, WY 82601 Phone: 307-277-6473 Fax: 888-659-0934 |
Mrs. Kelsey E Donnini, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 E 2nd St, Casper, WY 82609 Phone: 307-235-3333 Fax: 307-266-5155 |
Alicia Sojourner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Antler Dr Ste 110, Casper, WY 82601 Phone: 307-466-8008 |
Mr. Eric G Fernelius, MSW LCSW CLINICAL SO Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 336 S Jackson, Casper, WY 82601 Phone: 307-265-2555 Fax: 307-237-1259 |