CODIE WALLACE MSW
NPI 1073759429
Social Worker - Clinical in Casper, WY

Active since January 06, 2009PECOS Enrolled
2510 E 15TH ST, SUITE 11, CASPER, WY 82609(307) 234-9979(307) 234-9989 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Codie Wallace Msw NPPES

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

CODIE WALLACE MSW (NPI 1073759429) is an individual clinical provider in Casper, Wyoming, licensed in Wyoming (LCSW 800) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1073759429
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCODIE WALLACECredential: MSW
Location Address2510 E 15TH ST, SUITE 11Casper, WY 82609-4111
Mailing Address2510 E 15th St, Suite 11Casper, WY 82609-4111 · (307) 234-9979 · Fax (307) 234-9989
Fax(307) 234-9989
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 6, 2009
Last NPPES UpdateSeptember 21, 2012
NPI 1073759429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WY · LCSW 800
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2510 E 15TH ST, Casper, WY 82609

Other Names 1

Professional Name (2)Codie Wallace Lcsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Codie Wallace Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123311388
PECOS Enrollment IDI20260601001252
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82609 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 $56.42 – $170.72
Typical copayment $0.00 (range $14.10 – $42.68)
Most-billed visit code NA
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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 7

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

Social Worker (Clinical)
2510 E 15TH ST, SUITE 11
CASPER, WY 82609
Community/Behavioral Health
2510 E 15TH ST, SUITE 11
CASPER, WY 82609
Home Health
2510 E 15TH ST, ST 5
CASPER, WY 82609
Counselor (Professional)
2510 E 15TH ST, SUITE11
CASPER, WY 82609
Anesthesiology
2510 E 15TH ST, SUITE 2
CASPER, WY 82609
Chiropractor
2510 E 15TH ST
CASPER, WY 82609
Social Worker (Clinical)
2510 E 15TH ST, SUITE 11
CASPER, WY 82609

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 Codie Wallace's NPI number?

The NPI number for Codie Wallace is 1073759429. It was assigned to this individual provider in the NPPES registry on January 6, 2009. The provider is also known as Codie Wallace Lcsw.

Where is Codie Wallace located?

Codie Wallace practices at 2510 E 15th St Suite 11, Casper, WY 82609. The listed phone number is (307) 234-9979.

What is Codie Wallace's specialty?

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

Is Codie Wallace enrolled in Medicare?

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

What insurance does Codie Wallace accept?

Health plans from Blue Cross Blue Shield of Wyoming list Codie 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 Codie Wallace was last updated on September 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.