Katherine H Wallace, LCSW in Ashland, VA - Medicare Clinical Social Worker Provider

Katherine H Wallace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ashland, Virginia. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Wellspring Child And Family Psychology, Pc and her current practice location is 12300 Washington Hwy, Ashland, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 365-4166.

Katherine H Wallace is licensed to practice in Virginia (license number 0904010461) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801385349.

Contact Information

	Katherine H Wallace, LCSW
	12300 Washington Hwy, Ashland, VA 23005-7646
	(804) 365-4166
	(804) 365-4216

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine H Wallace
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	12300 Washington Hwy, Ashland, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katherine H Wallace graduated from medical school in 2015

NPI Data:

NPI Number: 1801385349
Provider Enumeration Date: 05/09/2018
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 1557616281
Enrollment ID: I20180620001228

Medical Identifiers

Medical identifiers for Katherine H Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801385349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904010461 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellspring Child And Family Psychology, Pc	5294036513	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine H Wallace allows following entities to bill medicare on her behalf.

Entity Name	Wellspring Child And Family Psychology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477962421 PECOS PAC ID: 5294036513 Enrollment ID: O20151210001323

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine H Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katherine H Wallace, LCSW 12300 Washington Hwy, Ashland, VA 23005-7646 Ph: (804) 365-4166	Katherine H Wallace, LCSW 12300 Washington Hwy, Ashland, VA 23005-7646 Ph: (804) 365-4166

Reviews and Comments

Social Worker in Ashland, VA

Kathy Redfearn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4230
Mr. Lars W Messerschmidt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4191 Fax: 804-365-4252
Alexander Isaac Carroll, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4244 Fax: 804-365-4252
Carleigh Violet Bodin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4222
Stephanie Henderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 England St # 485, Ashland, VA 23005 Phone: 804-385-1353
Ms. Barbara Jeanne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 629 N Washington Hwy, Suite F, Ashland, VA 23005 Phone: 804-798-1335 Fax: 804-798-1909
Anna Rae Antell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4196 Fax: 804-365-4252

Katherine H Wallace, LCSW - Medicare Clinical Social Worker in Ashland, VA