Dylan Wallace, LCSW, QCSW - Clinical Social Worker in Orem, UT

Dylan Wallace, LCSW, QCSW is a Social Worker - Clinical based in Orem, Utah. Dylan Wallace is licensed to practice in Utah (license number 11338410-3501) and his current practice location is 1431 N 1200 W, Orem, Utah. He can be reached at his office (for appointments etc.) via phone at (970) 210-9643.

NPI number for Dylan Wallace is 1982269155 and his current mailing address is 1431 N 1200 W, Orem, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982269155.

Contact Information

Dylan Wallace, LCSW, QCSW
1431 N 1200 W,
Orem, UT 84057-2449
(970) 210-9643
Not Available



Healthcare Provider's Profile

Full NameDylan Wallace
GenderMale
SpecialitySocial Worker - Clinical
Location1431 N 1200 W, Orem, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982269155
  • Provider Enumeration Date: 05/03/2019
  • Last Update Date: 04/29/2020

Medical Identifiers

Medical identifiers for Dylan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982269155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW15210 (Florida)Secondary
1041C0700XSocial Worker - Clinical 11338410-3501 (Utah)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. Dylan 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 AddressPractice Location Address
Dylan Wallace, LCSW, QCSW
1431 N 1200 W,
Orem, UT 84057-2449

Ph: (970) 210-9643
Dylan Wallace, LCSW, QCSW
1431 N 1200 W,
Orem, UT 84057-2449

Ph: (970) 210-9643

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› Verified 1 days ago


Social Worker in Orem, UT

Katie Fishman,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 600 S Geneva Rd, Orem, UT 84059
Phone: 801-877-5300    
Alicia Hills, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 202 E 800 S Ste 105, Orem, UT 84058
Phone: 385-283-1032    
Morgan Oliphant,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1255 N 1200 W, Orem, UT 84057
Phone: 801-229-1181    
Rebecca Jane Mcnairy,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1125 W Center St, Orem, UT 84057
Phone: 801-903-5903    
Erin Elizabeth Vasquez, LCSW, RPT
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1255 N 1200 W, Orem, UT 84057
Phone: 801-229-1181    Fax: 801-229-2787
Mr. Mark James Capell, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 313 E 1200 S, Suite 104, Orem, UT 84058
Phone: 801-377-1595    Fax: 801-377-1598
Terry R Routt, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 570 E 1400 S, Orem, UT 84097
Phone: 801-426-6661    Fax: 801-426-6660

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