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DONNA WALLACE LCSW
NPI 1710199328
Social Worker - Clinical in Davie, FL

Active since May 04, 2007
2110 SW 97 LANE, DAVIE, FL 33324(954) 424-1023(954) 916-1217 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donna Wallace Lcsw NPPES

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

DONNA WALLACE LCSW (NPI 1710199328) is an individual clinical provider in Davie, Florida, licensed in Florida (SW2636) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1710199328
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDONNA WALLACECredential: LCSW
Location Address2110 SW 97 LANEDavie, FL 33324
Mailing Address2110 Sw 97 LaneDavie, FL 33324 · (954) 424-1023 · Fax (954) 916-1217
Phone(954) 424-1023
Fax(954) 916-1217
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710199328 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 · SW2636
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.
2110 SW 97 LANE, Davie, FL 33324
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Other Names 1

Professional Name (2)Donna Wallace Lcsw

Other Identifiers 1

Medicare ID-Type UnspecifiedZ3941

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 Donna Wallace's NPI number?

The NPI number for Donna Wallace is 1710199328. It was assigned to this individual provider in the NPPES registry on May 4, 2007. The provider is also known as Donna Wallace Lcsw.

Where is Donna Wallace located?

Donna Wallace practices at 2110 SW 97 Lane, Davie, FL 33324. The listed phone number is (954) 424-1023.

What is Donna Wallace'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 Donna Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.