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DANA WALLACE LCSW, LICSW
NPI 1144747205
Social Worker - Clinical in Fort Walton Beach, FL

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
480 SANTA ROSA BLVD, FORT WALTON BEACH, FL 32548(251) 421-0712 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Aug 29, 2017 (2 updates tracked since 2017).

About Dana Wallace Lcsw, Licsw NPPES

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

DANA WALLACE LCSW, LICSW (NPI 1144747205) is an individual clinical provider in Fort Walton Beach, Florida, licensed in Florida (SW24920) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144747205
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDANA WALLACECredential: LCSW, LICSW
Location Address480 SANTA ROSA BLVDFort Walton Beach, FL 32548-6901
Mailing Address480 Santa Rosa Blvd Unit 308eFort Walton Beach, FL 32548-6945 · (251) 421-0712
Phone(251) 421-0712
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 29, 2017
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1144747205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW24920✔ Licensed in AL · 6143C
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.
480 SANTA ROSA BLVD, Fort Walton Beach, FL 32548
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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 and accepts Medicare assignment

Dana Wallace Lcsw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476065210
PECOS Enrollment IDI20250625004301
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 Dana Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dana J. Wallace, Lcsw, LLC
Same address
Clinical
480 SANTA ROSA BLVD UNIT 308E
Fort Walton Beach, FL 32548
  • Reassigned Medicare billing, Florida enrollment
NPI 1457280828 (251) 421-0712
Bluewater Behavioral Health Inc
13 mi
Psychiatric/Mental Health
4400 E HIGHWAY 20 STE 208
Niceville, FL 32578
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1922562628 (575) 520-1230

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 32548 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.

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 1144747205. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Dana Wallace located?

Dana Wallace practices at 480 Santa Rosa Blvd, Fort Walton Beach, FL 32548. The listed phone number is (251) 421-0712.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dana Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Wallace reassigns Medicare benefits to 2 organizations: Dana J. Wallace, Lcsw, LLC (Fort Walton Beach, FL) and Bluewater Behavioral Health Inc (Niceville, FL). 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 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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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 May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.