Organization · Type 2 NPI

Dana J. Wallace, Lcsw, LLC

Clinical Social Worker · Fort Walton Beach, FL

NPI number 1457280828 Active

Practice location

480 Santa Rosa Blvd Unit 308E
Fort Walton Beach, FL 32548-6945

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1457280828

Dana J. Wallace, Lcsw, LLC's National Provider Identifier is 1457280828, issued on May 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Walton Beach, FL. The record was last updated on May 14, 2026.