AZAIA WALLACE – Clinical Social Worker, NPI 1982287876
Clinical Social Worker
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,376 CLINICAL SOCIAL WORKER in FL
Provider Addresses for AZAIA WALLACE
8039 LENNOX LOOP
WESLEY CHAPEL, FL 335443503
Phone: (918) 859-5775
Type: Mailing
6767 W Tropicana Ave Ste 100
Las Vegas, NV 891034755
Phone: (702) 209-0370
Type: Location
6767 W TROPICANA AVE STE 100
LAS VEGAS, NV 891034755
Phone: (702) 209-0370
Type: Mailing
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: 2025-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20230908001799 | I | Clinical Social Worker | NV | TBD |
| I20241218004411 | I | Clinical Social Worker | FL | TBD |
| I20250109002242 | I | Clinical Social Worker | VA | TBD |
| I20250117001244 | I | Clinical Social Worker | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33544)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NV | |
| Clinical Social Worker | NV | |
| Clinical Social Worker | NV | |
| - | NV | |
| Clinical Social Worker | NV | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | NV | |
| - | CA |
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