DONNA WALLACE (NPI# 1710199328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710199328 |
| Entity Type | Individual |
| Full Name | DONNA WALLACE |
| Other Name | DONNA WALLACE |
| Credential | LCSW |
| Practice Address |
2110 Sw 97 Lane Davie FL 33324 |
| Practice Telephone | 9544241023 |
| Practice Fax Number | 9549161217 |
| Mailing Telephone | 9544241023 |
| Mailing Fax Number | 9549161217 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW2636 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164938130 | Donna C. Wallace | Pharmacist | 1817 Nw 127th Ave, Pembroke Pines, FL 33028-2567 | 2017-12-28 |
| 1639558471 | Donna Wallace | Counselor | 2814 S Us Highway 1, Suite D-4, Fort Pierce, FL 34982-8120 | 2015-05-26 |
| 1932475977 | Donna Lee Wallace | Specialist | 5600 Cypresswood Dr, Spring, TX 77379-8260 | 2012-03-23 |
| 1154577047 | Donna M Wallace | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2008-08-12 |
| 1003016320 | Donna K Wallace | Counselor | 1901 S 24th Ave, Edinburg, TX 78539-6533 | 2007-07-24 |
| 1386792349 | Donna M. Wallace | Pathology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1124192703 | Donna F Wallace | Physical Therapist | 3445 Post Road, J Arthur Trudeau Memorial Center Attn Kim Ruelle Hr, Warwick, RI 02886-7147 | 2006-11-17 |
| 1952321200 | Donna D Wallace | Nurse Practitioner | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-20 |
| 1346236122 | Donna C Wallace | Nurse Practitioner | 2910 N 3rd Ave, Phoenix, AZ 85013-4434 | 2005-09-27 |
| Street Address |
2110 SW 97 LANE |
| City | DAVIE |
| State | FL |
| Zip Code | 33324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1003434911 | Vanessa Elisa Galasso | Social Worker | 14641 N Beckley Sq, Davie, FL 33325-3027 | 2020-07-07 |
| 1528681137 | Carol Mirones | Social Worker | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-05-19 |
| 1750817292 | Mary Miranda-tourino | Social Worker | 9340 Lagoon Pl Apt 310, Davie, FL 33324-6750 | 2017-05-03 |
| 1073047007 | Elizabeth Cullinane | Social Worker | 3102 Sw 147th Ave, Davie, FL 33330-1053 | 2017-04-17 |
| 1225577851 | Rk Care Group LLC | Social Worker | 5210 S University Dr, Suite 105, Davie, FL 33328-5315 | 2017-02-15 |
| 1780136796 | Hilda Grindell | Social Worker | 4900 S University Dr Ste 207d-8, Davie, FL 33328-3808 | 2016-10-26 |
| 1487021721 | Sunny Philip | Social Worker | 10720 Sw 10th Ct, Davie, FL 33324-4156 | 2015-08-21 |
| 1356658207 | Rachelle Louise Snyder | Social Worker | 4181 S Pine Island Rd, Davie, FL 33328-2833 | 2010-09-13 |
| 1912238957 | Richard Agostinho | Social Worker | 351 Sw 136th Ave, Suite 207, Davie, FL 33325-3153 | 2010-01-14 |
| 1518161785 | Leigh D Ojeda | Social Worker | 9311 Orange Grove Dr Apt 306, Davie, FL 33324-6761 | 2007-06-12 |
| Find all providers in DAVIE | ||||
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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.