CAMILLA WALLACE LCSW
NPI 1851572606
Social Worker - Clinical in Evanston, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Camilla Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plainfield, IL 60585
- Reassigned Medicare billing, Indiana enrollment
- 10 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana enrollment
- 233 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Indiana enrollment
- 417 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Camilla Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camilla Wallace reassigns Medicare benefits to 3 organizations: Bmsc Az LLC (Plainfield, IL), Extended Care Specialists, Inc (Merrillville, IN) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camilla Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Camilla Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield, 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 13 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.
# Camilla Wallace, LCSW · NPI 1851572606
Clinical provider in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since November 21, 2007.
## Identity
- **NPI:** 1851572606 (Entity type: Individual)
- **Enumerated:** November 21, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149.013306 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1007 CHURCH ST, SUITE 302, Evanston, IL 60201-3624
- **Phone:** (847) 492-1938 · **Fax:** (847) 423-5670
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bmsc Az LLC (NPI 1497201875, Plainfield, IL); Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 16, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1851572606) · Data from the CMS NPPES public registry.