SHANA WALLACE
NPI 1922665173
Social Worker - Clinical in Springfield, MA

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
417 LIBERTY ST, SPRINGFIELD, MA 01104(413) 246-9675 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, May 23, 2019 (2 updates tracked since 2019).

About Shana Wallace NPPES

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

SHANA WALLACE (NPI 1922665173) is an individual clinical provider in Springfield, Massachusetts and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922665173
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANA WALLACE
Location Address417 LIBERTY STSpringfield, MA 01104-3736
Mailing Address417 Liberty StSpringfield, MA 01104-3736
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 23, 2019
Last NPPES UpdateSeptember 3, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1922665173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
417 LIBERTY ST, Springfield, MA 01104

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

Shana Wallace 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 ID7214423201
PECOS Enrollment IDI20251229003390
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 01104 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 20

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

Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Registered Nurse
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor (Addiction (Substance Use Disorder))
417 LIBERTY ST
SPRINGFIELD, MA 01104
Counselor
417 LIBERTY ST
SPRINGFIELD, MA 01104
Nurse Practitioner (Psychiatric/Mental Health)
417 LIBERTY ST
SPRINGFIELD, MA 01104

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 Shana Wallace's NPI number?

The NPI number for Shana Wallace is 1922665173. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Shana Wallace located?

Shana Wallace practices at 417 Liberty St, Springfield, MA 01104. The listed phone number is (413) 246-9675.

What is Shana Wallace's specialty?

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

Is Shana Wallace enrolled in Medicare?

Yes. Shana 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 Shana Wallace accept?

Health plans from Harvard Pilgrim Health Care and Providence Health Plan list Shana 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 Shana Wallace was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.