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DR. WANDA DANNETTE WALLACE DSW, LCSW
NPI 1043866411
Social Worker - Clinical in Pensacola, FL

Active since August 12, 2019PECOS Enrolled
9013 UNIVERSITY PKWY STE C, PENSACOLA, FL 32514(850) 380-8320(850) 478-7802 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2019, Aug 12, 2019 (2 updates tracked since 2019).

About Dr. Wanda Dannette Wallace Dsw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WANDA DANNETTE WALLACE DSW, LCSW (NPI 1043866411) is an individual clinical provider in Pensacola, Florida, licensed in Florida (SW13939) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043866411
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. WANDA DANNETTE WALLACECredential: DSW, LCSW
Location Address9013 UNIVERSITY PKWY STE CPensacola, FL 32514-9421
Mailing Address9013 University Pkwy Ste CPensacola, FL 32514-9421 · (850) 380-8320 · Fax (850) 478-7802
Phone(850) 380-8320
Fax(850) 478-7802
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 12, 2019
Last NPPES UpdateAugust 20, 20192 updates tracked since enumeration
✔ NPI 1043866411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW13939
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9013 UNIVERSITY PKWY STE C, Pensacola, FL 32514
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wanda Dannette Wallace Dsw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103157110
PECOS Enrollment IDI20191004002600, I20240418001207
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Wanda Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stone Ridge Counseling Center Inc
Same address
Mental Health
9013 UNIVERSITY PARKWAY, SUITE C
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1710134721 (850) 478-7800
Meridian Behavioral Health, Inc
539 mi
Mental Health (Including Community Mental Health Center)
4010 DUPONT CIR STE 419
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 24 clinicians in this Medicare group
NPI 1427569219 (502) 653-9019

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
432 services34 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
47 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA FERGUSON SUTTON LCSW
Social Worker (Clinical)
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 32514
Escambia County (850) 478-7800
MARISA MUNDELL LPC, LMHC
Counselor (Mental Health)
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 32514
Escambia County (850) 478-7800
MS. BRITTNEY NICHOLE CLARK LMHC
Counselor (Mental Health)
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 32514
Escambia County (850) 478-7800
AMANDA BROOKE ALLEN LCSW
Social Worker (Clinical)
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 32514
Escambia County (850) 478-7800
JILL J MARTIN LMHC
Counselor (Mental Health)
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 32514
Escambia County (850) 478-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Wallace's NPI number?

The NPI number for Wanda Wallace is 1043866411. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Wanda Wallace located?

Wanda Wallace practices at 9013 University Pkwy Ste C, Pensacola, FL 32514. The listed phone number is (850) 380-8320.

What is Wanda Wallace's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wanda Wallace enrolled in Medicare?

Yes. Wanda Wallace is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wanda Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Wallace reassigns Medicare benefits to 2 organizations: Stone Ridge Counseling Center Inc (Pensacola, FL) and Meridian Behavioral Health, Inc (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wanda Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wanda Wallace accept?

Health plans from CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Wanda Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wanda Wallace was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.