DANA WALLACE LCSW
NPI 1093549420
Social Worker - Clinical in Bozrah, CT
About Dana Wallace Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA WALLACE LCSW (NPI 1093549420) is an individual clinical provider in Bozrah, Connecticut, licensed in Connecticut (013881) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dana Wallace Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dana Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06334 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Dana Wallace's NPI number?
The NPI number for Dana Wallace is 1093549420. It was assigned to this individual provider in the NPPES registry on August 28, 2024.
Where is Dana Wallace located?
Dana Wallace practices at 28 Haughton Rd, Bozrah, CT 06334. The listed phone number is (860) 917-0790.
What is Dana Wallace's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Dana Wallace enrolled in Medicare?
Yes. Dana Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dana Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Wallace reassigns Medicare benefits to State Of Connecticut (Norwich, CT). The 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 Dana Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dana Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield list Dana 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 Dana Wallace was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dana Wallace, LCSW · NPI 1093549420
Clinical provider in Bozrah, Connecticut. Individual provider, active in the CMS NPPES registry since August 28, 2024.
## Identity
- **NPI:** 1093549420 (Entity type: Individual)
- **Enumerated:** August 28, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 013881 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 28 HAUGHTON RD, Bozrah, CT 06334-1207
- **Phone:** (860) 917-0790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** State Of Connecticut (NPI 1902831548, Norwich, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093549420) · Data from the CMS NPPES public registry.