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CAMILLA WALLACE LCSW
NPI 1851572606
Social Worker - Clinical in Evanston, IL

Active since November 21, 2007PECOS EnrolledAccepts Medicare Assignment
1007 CHURCH ST, SUITE 302, EVANSTON, IL 60201(847) 492-1938(847) 423-5670 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camilla Wallace Lcsw NPPES

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

CAMILLA WALLACE LCSW (NPI 1851572606) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (149.013306) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1851572606
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAMILLA WALLACECredential: LCSW
Location Address1007 CHURCH ST, SUITE 302Evanston, IL 60201-3624
Mailing Address1007 Church St, Suite 302Evanston, IL 60201-3624
Phone(847) 492-1938
Fax(847) 423-5670
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 21, 2007
Last NPPES UpdateSeptember 16, 2013
✔ NPI 1851572606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149.013306✔ Licensed in MI · 6801093324
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.
1007 CHURCH ST, Evanston, IL 60201
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Accepted Insurance

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

Camilla 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.

PECOS PAC ID6901202050
PECOS Enrollment IDI20210915000893
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
223 services44 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
62 services23 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
48 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELF DESIGN, INC
Social Worker (Clinical)
1007 CHURCH ST, SUITE 515
EVANSTON, IL 60201
Cook County (773) 818-6800
MR. ALAN WERTHEIMER LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 848-0474
SAIRA SHERVANI MD
Internal Medicine
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 475-4555
ERICA ESTES WATSON M.A., LPC
Counselor (Professional)
1007 CHURCH ST, SUITE 302
EVANSTON, IL 60201
Cook County (847) 492-1938
JUDY ORBACH LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (312) 296-4562
KYLIE MARIE KOTAK LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 440-5760
JENNIFER ANN RUZUMNA PH.D.
Psychologist (Clinical)
1007 CHURCH ST, SUITE 515
EVANSTON, IL 60201
Cook County (312) 307-9677
FARRAH WALKER
Marriage & Family Therapist
1007 CHURCH ST, SUITE 302
EVANSTON, IL 60201
Cook County (847) 492-1938

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 Camilla Wallace's NPI number?

The NPI number for Camilla Wallace is 1851572606. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Camilla Wallace located?

Camilla Wallace practices at 1007 Church St Suite 302, Evanston, IL 60201. The listed phone number is (847) 492-1938.

What is Camilla Wallace's specialty?

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

Is Camilla Wallace enrolled in Medicare?

Yes. Camilla 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 Camilla Wallace accept?

Health plans from CareSource and UnitedHealthcare list Camilla 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 Camilla Wallace was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.