CARLY WALLACE LCSW
NPI 1780040600
Social Worker - Clinical in New Britain, CT
About Carly Wallace Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY WALLACE LCSW (NPI 1780040600) is an individual clinical provider in New Britain, Connecticut, licensed in Connecticut (11655) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Carly Wallace Lcsw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW BRITAIN, CT 06051
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 Carly Wallace's NPI number?
The NPI number for Carly Wallace is 1780040600. It was assigned to this individual provider in the NPPES registry on January 7, 2016.
Where is Carly Wallace located?
Carly Wallace practices at 233 Main St, New Britain, CT 06051. The listed phone number is (860) 977-2324.
What is Carly Wallace's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Carly Wallace enrolled in Medicare?
Yes. Carly 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 Carly Wallace accept?
Health plans from Providence Health Plan list Carly 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 Carly Wallace was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carly Wallace, LCSW · NPI 1780040600
Clinical provider in New Britain, Connecticut. Individual provider, active in the CMS NPPES registry since January 7, 2016.
## Identity
- **NPI:** 1780040600 (Entity type: Individual)
- **Enumerated:** January 7, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 11655 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 233 MAIN ST, New Britain, CT 06051-4204
- **Phone:** (860) 977-2324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** February 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780040600) · Data from the CMS NPPES public registry.