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LINDA WALLACE MSW
NPI 1588029847
Social Worker - Clinical in Jacksonville, FL

Active since December 30, 2015PECOS EnrolledAccepts Medicare Assignment
632 SOUTHERN LILY DR, JACKSONVILLE, FL 32259(904) 599-8881 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2025, Dec 13, 2017, Dec 30, 2015 (3 updates tracked since 2015).

About Linda Wallace Msw NPPES

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

LINDA WALLACE MSW (NPI 1588029847) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW11186) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588029847
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLINDA WALLACECredential: MSW
Location Address632 SOUTHERN LILY DRJacksonville, FL 32259-4011
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone(904) 599-8881
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 30, 2015
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1588029847 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 FL · SW11186
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.
632 SOUTHERN LILY DR, Jacksonville, FL 32259
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, 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 and accepts Medicare assignment

Linda Wallace Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668777038
PECOS Enrollment IDI20160223000836
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 32259 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Linda Wallace's NPI number?

The NPI number for Linda Wallace is 1588029847. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Linda Wallace located?

Linda Wallace practices at 632 Southern Lily Dr, Jacksonville, FL 32259. The listed phone number is (904) 599-8881.

What is Linda Wallace's specialty?

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

Is Linda Wallace enrolled in Medicare?

Yes. Linda Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Linda Wallace accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Linda 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 Linda Wallace was last updated on February 10, 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.