MR. REGINAL ARNETT WALLACE LCSW
NPI 1205400066
Social Worker - Clinical in Winter Haven, FL

Q: What is Reginal Wallace's NPI number?

The NPI number for Reginal Wallace is 1205400066. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Q: What is Reginal Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Reginal Wallace was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 17, 2021PECOS Enrolled

1201 1ST ST S, WINTER HAVEN, FL 33880(863) 293-1121 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, May 17, 2021 (2 updates tracked since 2021).

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About Mr. Reginal Arnett Wallace Lcsw NPPES

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

MR. REGINAL ARNETT WALLACE LCSW (NPI 1205400066) is an individual clinical provider in Winter Haven, Florida, licensed in Florida (SW18482) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205400066

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. REGINAL ARNETT WALLACECredential: LCSW

Location Address1201 1ST ST SWinter Haven, FL 33880-3904

Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012

Phone(863) 293-1121

Sole ProprietorNo

Enumeration DateMay 17, 2021

Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration

NPPES CertifiedOctober 4, 2021

✔ NPI 1205400066 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 · SW18482

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.

1201 1ST ST S, Winter Haven, FL 33880

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Reginal Arnett Wallace Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33880 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 20

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

MISS ERIN ALETA SWAILS B.S.

Case Manager/Care Coordinator