KATHERINE H WALLACE (LCSW) – Clinical Social Worker, NPI 1801385349

KATHERINE H WALLACE (LCSW) is a healthcare provider. based in Fredericksburg, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904010461 (VA). The NPI Number for KATHERINE H WALLACE (LCSW) is 1801385349

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE H WALLACE (LCSW)
NPI
1801385349
Phone
(540) 373-3223
Address
600 JACKSON ST
Enumeration Date
9 May 2018
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5402683388
Graduation Year
2015 (11 years ago)
PAC ID
1557616281
Group Practice PAC ID
5294036513
Professional Enrollment ID
I20180620001228
Address ID
VA224018407FR615XXHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

2,049 CLINICAL SOCIAL WORKER in VA

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Provider Addresses for KATHERINE H WALLACE (LCSW)

  • Jackson Street, Hazel Hill, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    FREDERICKSBURG, VA 224015719

    Phone: (540) 373-3223

    Fax: (540) 371-3753

    Type: Mailing

  • 12300 WASHINGTON HWY

    ASHLAND, VA 230057646

    Phone: (804) 365-4166

    Fax: (804) 365-4261

    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: 2018-06-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180620001228IClinical Social WorkerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 22401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294036513View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical PsychologistVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Clinical PsychologistVA
P S Y C H I A T R YVA

Reviews

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Frequently asked questions

What number should I use to identify KATHERINE H WALLACE (LCSW) for billing?
Administrative and clinical systems typically use NPI 1801385349 for KATHERINE H WALLACE (LCSW).
Quick check: is KATHERINE H WALLACE (LCSW) active?
Public NPPES data shows KATHERINE H WALLACE (LCSW) with an active NPI status right now.
What type of care does KATHERINE H WALLACE (LCSW) provide?
KATHERINE H WALLACE (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is KATHERINE H WALLACE (LCSW) tied to Fredericksburg, Virginia?
If you are local to Fredericksburg, Virginia, KATHERINE H WALLACE (LCSW) may be relevant to your search.
Why is information missing for KATHERINE H WALLACE (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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Unknown Individual

Clinical Social Worker
Jackson Street, Hazel Hill, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
NPI: 1922066505