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

Q: 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.

Q: What is Felicia 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 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 16 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.

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: August 16, 2026.

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

On this page

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

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.

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