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DANA J. WALLACE, LCSW, LLC
NPI 1457280828
Social Worker - Clinical in Fort Walton Beach, FL

Active since May 14, 2026
480 SANTA ROSA BLVD UNIT 308E, FORT WALTON BEACH, FL 32548(251) 421-0712 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dana J. Wallace, Lcsw, Llc NPPES

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

DANA J. WALLACE, LCSW, LLC (NPI 1457280828) is a healthcare organization registered as a clinical in Fort Walton Beach, Florida and active in the NPI registry since May 2026. The organization lists Dana Janelle Wallace, Social Worker/psychtherapist, as its authorized official.

NPPES Registry Identity

NPI1457280828
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDANA J. WALLACE, LCSW, LLC
Location Address480 SANTA ROSA BLVD UNIT 308EFort Walton Beach, FL 32548-6945
Mailing Address480 Santa Rosa Blvd Unit 308eFort Walton Beach, FL 32548-6945 · (251) 421-0712
Phone(251) 421-0712
Organization SubpartNo
Authorized OfficialDana Janelle WallaceSocial Worker/psychtherapist · (251) 421-0712
Enumeration DateMay 14, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1457280828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
480 SANTA ROSA BLVD UNIT 308E, Fort Walton Beach, FL 32548
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dana J. Wallace, Lcsw, LLC's NPI number?

The NPI number for Dana J. Wallace, Lcsw, LLC is 1457280828. It was assigned to this organization in the NPPES registry on May 14, 2026.

Where is Dana J. Wallace, Lcsw, LLC located?

Dana J. Wallace, Lcsw, LLC is located at 480 Santa Rosa Blvd Unit 308E, Fort Walton Beach, FL 32548. The listed phone number is (251) 421-0712.

What is Dana J. Wallace, Lcsw, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dana J. Wallace, Lcsw, LLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.