DR. WANDA DANNETTE WALLACE (NPI# 1043866411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043866411 |
| Entity Type | Individual |
| Full Name | DR. WANDA DANNETTE WALLACE |
| Credential | DSW, LCSW |
| Practice Address |
9013 University Pkwy Ste C Pensacola FL 32514-9421 |
| Practice Telephone | 8503808320 |
| Practice Fax Number | 8504787802 |
| Mailing Telephone | 8503808320 |
| Mailing Fax Number | 8504787802 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW13939 | FL | Behavioral Health & Social Service Providers |
| Street Address |
9013 UNIVERSITY PKWY STE C |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-9421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544636 | Jill J Martin | Counselor | 9013 University Pkwy Ste C, Pensacola, FL 32514-9421 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122485 | Sharla Calloway | Social Worker | 101 E Romana St, Pensacola, FL 32502-5689 | 2020-10-19 |
| 1275148900 | Michelle Mackin | Social Worker | 8631 Messick St, Pensacola, FL 32534-1016 | 2020-09-10 |
| 1326650490 | Christine Collett | Social Worker | 9895 Rail Cir, Pensacola, FL 32507-7211 | 2020-08-20 |
| 1710595921 | Brandi Melissa Helmly | Social Worker | 4532 Tradewinds Pl, Pensacola, FL 32514-6772 | 2020-07-14 |
| 1093338105 | Teri T Perkins Lcsw LLC | Social Worker | 7100 Plantation Road, Ste 11, Pensacola, FL 32504-4206 | 2020-05-22 |
| 1134757313 | Deborah Hope Solano | Social Worker | 1028 Underwood Ave, Pensacola, FL 32504-8924 | 2020-04-01 |
| 1902446529 | Joseph Montano Jr. | Social Worker | 4400 Bayou Blvd Ste 51, Pensacola, FL 32503-1909 | 2020-01-11 |
| 1871134494 | Amanda Leigh Haggard | Social Worker | 5435 Japonica Ave, Pensacola, FL 32507-8848 | 2019-10-04 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1396394540 | Tiffany Chen | Social Worker | 9300 Camberwell Rd, Pensacola, FL 32514-5837 | 2019-09-10 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.