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MRS. BRENDA LEE WALLACE M.S.W., L.C.S.W
NPI 1275546848
Social Worker - Clinical in Okeene, OK

Active since August 14, 2006PECOS Enrolled
323 N 3RD ST, OKEENE, OK 73763(580) 822-1703(580) 822-1703 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 9, 2025, Apr 12, 2022 (2 updates tracked since 2022).

About Mrs. Brenda Lee Wallace M.s.w., L.c.s.w NPPES

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

MRS. BRENDA LEE WALLACE M.S.W., L.C.S.W (NPI 1275546848) is an individual clinical provider in Okeene, Oklahoma, licensed in Oklahoma (3137) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1275546848
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. BRENDA LEE WALLACECredential: M.S.W., L.C.S.W
Location Address323 N 3RD STOkeene, OK 73763-9375
Mailing Address323 N 3rd StOkeene, OK 73763-9375 · (580) 822-1703
Phone(580) 822-1703
Fax(580) 822-1703
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1275546848 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 OK · 3137
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.
323 N 3RD ST, Okeene, OK 73763
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Secondary Practice Location 1

Location 16100 S Walker AveOklahoma City, OK 73139-7026 · Phone (405) 634-4400

Other Identifiers 1

Medicaid200463070BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health 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)

Mrs. Brenda Lee Wallace M.s.w., L.c.s.w 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 73763 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 $53.00 – $162.61
Typical copayment $0.00 (range $13.25 – $40.65)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 Brenda Wallace's NPI number?

The NPI number for Brenda Wallace is 1275546848. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Brenda Wallace located?

Brenda Wallace practices at 323 N 3rd St, Okeene, OK 73763. The listed phone number is (580) 822-1703.

What is Brenda Wallace's specialty?

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

Is Brenda Wallace enrolled in Medicare?

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

What insurance does Brenda Wallace accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Brenda 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 Brenda Wallace was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.