Danny Wallace, LCSW in Bartow, FL - Social Worker

Danny Wallace, LCSW is a Social Worker - Clinical based in Bartow, Florida. Danny Wallace is licensed to practice in Florida (license number SW18848) and his current practice location is 1255 Golfview Ave, Bartow, Florida. He can be reached at his office (for appointments etc.) via phone at (863) 519-0575.

NPI number for Danny Wallace is 1700102472 and his current mailing address is Po Box 1559, Bartow, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700102472.

Contact Information

	Danny Wallace, LCSW
	1255 Golfview Ave, Bartow, FL 33830-6736
	(863) 519-0575
	Not Available

Healthcare Provider's Profile

Full Name	Danny Wallace
Gender	Male
Speciality	Social Worker - Clinical
Location	1255 Golfview Ave, Bartow, Florida
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1700102472
Provider Enumeration Date: 04/20/2010
Last Update Date: 09/02/2021

Medical Identifiers

Medical identifiers for Danny Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700102472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW18848 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Danny Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Danny Wallace, LCSW Po Box 1559, Bartow, FL 33831-1559 Ph: () -	Danny Wallace, LCSW 1255 Golfview Ave, Bartow, FL 33830-6736 Ph: (863) 519-0575

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Social Worker in Bartow, FL

Cynthia Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575
Sabrina Gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251
Miss Angela M Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251
Kirk D Fasshauer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575
Rosalind M Deangelis-tyre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2155 Golden Meadow Way, Bartow, FL 33830 Phone: 386-397-4972
Carla Bordin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 E Main St, Bartow, FL 33830 Phone: 813-689-8828 Fax: 813-689-8802

Danny Wallace, LCSW - Clinical Social Worker in Bartow, FL