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MS. FELICIA LEE WALLACE LCSW
NPI 1215294152
Social Worker - Clinical in Hampton, VA

Active since April 17, 2012PECOS Enrolled
100 EMANCIPATION DR, BLDG 71, HAMPTON, VA 23667(757) 722-9961 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Feb 26, 2025 (2 updates tracked since 2025).

About Ms. Felicia Lee Wallace Lcsw NPPES

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

MS. FELICIA LEE WALLACE LCSW (NPI 1215294152) is an individual clinical provider in Hampton, Virginia, licensed in Illinois (149028883) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215294152
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. FELICIA LEE WALLACECredential: LCSW
Location Address100 EMANCIPATION DR, BLDG 71Hampton, VA 23667-0001
Mailing Address100 Emancipation Dr, Bldg 71Hampton, VA 23667-0001 · (757) 722-9961
Phone(757) 722-9961
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 17, 2012
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1215294152 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 IL · 149028883✔ Licensed in VA · 0904018214
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.
100 EMANCIPATION DR, Hampton, VA 23667
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Felicia Lee Wallace Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365920568
PECOS Enrollment IDI20260129002281
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 Reassignment

Medicare enrollment records show Felicia Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nexumhc Consultants, PLLC
698 mi
Clinical
7040 N RIDGEWAY AVE STE 102
Lincolnwood, IL 60712
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1851082598 (773) 945-1994

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 23667 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

MRS. ROSEMARIE TOWNSEND RN
Registered Nurse
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
REBECCA MYERS
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-4034
NYEEMA DUHART
Pharmacy Technician
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (720) 416-0236
DR. SRIDHAR MADHUNAPANTULA MD
Internal Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MR. ANTHONY LYNN JONES RKT, CRC
Kinesiotherapist
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MRS. TASHIKO LYNN BRADSHAW BROADHEAD LMSW
Social Worker
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MISS TINA MARIA CROCCO LMSW
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 922-9961
TRISH TRAN
Family Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961

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 Felicia Wallace's NPI number?

The NPI number for Felicia Wallace is 1215294152. It was assigned to this individual provider in the NPPES registry on April 17, 2012.

Where is Felicia Wallace located?

Felicia Wallace practices at 100 Emancipation Dr Bldg 71, Hampton, VA 23667. The listed phone number is (757) 722-9961.

What is Felicia Wallace's specialty?

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

Is Felicia Wallace enrolled in Medicare?

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

Which organization bills Medicare for Felicia Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Felicia Wallace reassigns Medicare benefits to Nexumhc Consultants, PLLC (Lincolnwood, IL). 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 Felicia Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Felicia Wallace accept?

Health plans from UnitedHealthcare list Felicia 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 Felicia Wallace was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.