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SARA JANE WALLACE LISW-S
NPI 1417278995
Social Worker in Ashtabula, OH

Active since June 18, 2010PECOS Enrolled
6407 AUSTINBURG RD, ASHTABULA, OH 44004(440) 998-1811(440) 992-6828 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sara Jane Wallace Lisw-s NPPES

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

SARA JANE WALLACE LISW-S (NPI 1417278995) is an individual social worker in Ashtabula, Ohio, licensed in Ohio (I 0005152) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417278995
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSARA JANE WALLACECredential: LISW-S
Location Address6407 AUSTINBURG RDAshtabula, OH 44004-9306
Mailing Address6407 Austinburg RdAshtabula, OH 44004-9306 · (440) 998-1811 · Fax (440) 992-6828
Phone(440) 998-1811
Fax(440) 992-6828
Sole ProprietorYes
Enumeration DateJune 18, 2010
✔ NPI 1417278995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · I 0005152
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6407 AUSTINBURG RD, Ashtabula, OH 44004
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Other Identifiers 1

Other202127833OH · Tax Identification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare 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)

Sara Jane Wallace Lisw-s 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.

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 Sara Wallace's NPI number?

The NPI number for Sara Wallace is 1417278995. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Sara Wallace located?

Sara Wallace practices at 6407 Austinburg Rd, Ashtabula, OH 44004. The listed phone number is (440) 998-1811.

What is Sara Wallace's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Sara Wallace enrolled in Medicare?

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

What insurance does Sara Wallace accept?

Health plans from CareSource, MedMutual, Molina Healthcare and SummaCare list Sara 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 Sara Wallace was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.