DR. WANDA DANNETTE WALLACE (DSW, LCSW) – Clinical Social Worker, NPI 1043866411
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,374 CLINICAL SOCIAL WORKER in FL
Provider Addresses for DR. WANDA DANNETTE WALLACE (DSW, LCSW)
9013 UNIVERSITY PKWY STE C
PENSACOLA, FL 325149421
Phone: (850) 380-8320
Fax: (850) 478-7802
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191004002600 | I | Clinical Social Worker | FL | TBD |
| I20240418001207 | I | Clinical Social Worker | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 551 | 43 | $0 |
| 90837 | Psychotherapy, 1 hour | 39 | 15 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 21 | 21 | $0 |
Insurance plans in this area (ZIP 32514)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| - | KY | |
| Clinical Psychologist | KY | |
| Mental Health Counselor | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Clinical Psychologist | KY | |
| Clinical Psychologist | KY | |
| Clinical Social Worker | LA |
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