| Dana Wallace, LCSW, LICSW | |
|
480 Santa Rosa Blvd, Fort Walton Beach, FL 32548-6901 | |
| (251) 421-0712 | |
| Not Available |
| Full Name | Dana Wallace |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 480 Santa Rosa Blvd, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144747205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW24920 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | 6143C (Alabama) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluewater Behavioral Health, Inc. | 3274873435 | 12 |
| Entity Name | Bluewater Behavioral Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922562628 PECOS PAC ID: 3274873435 Enrollment ID: O20190326000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Wallace, LCSW, LICSW 480 Santa Rosa Blvd Unit 308e, Fort Walton Beach, FL 32548-6945 Ph: (251) 421-0712 | Dana Wallace, LCSW, LICSW 480 Santa Rosa Blvd, Fort Walton Beach, FL 32548-6901 Ph: (251) 421-0712 |
Roberta Leigh Welch, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7500 |
Terry Abbott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 648 Overbrook Dr, Fort Walton Beach, FL 32547 Phone: 850-736-5211 |
Ms. Kathelen Blue, L.M.H.C. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 137 Hospital Dr, Fort Walton Beach, FL 32548 Phone: 850-833-7400 Fax: 885-083-3743 |
Emily Claughsey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 348 Miracle Strip Pkwy Sw, Fort Walton Beach, FL 32548 Phone: 850-498-6858 |
Cozette Drake, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7451 Fax: 850-833-7439 |
Alexa Lauren Greene, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 176 Harris Rd Ne, Fort Walton Beach, FL 32547 Phone: 850-833-3872 |
Amanda Morrell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 Kanuha Dr, Fort Walton Beach, FL 32547 Phone: 850-240-3893 |