Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dana J. Wallace, LCSW, LLC

Organization Clinical Social Worker · NPI 1457280828

Dana J. Wallace, LCSW, LLC is a Clinical Social Worker in Fort Walton Beach, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

480 Santa Rosa Blvd Unit 308E
Fort Walton Beach, FL 32548-6945
Phone: (251) 421-0712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1457280828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Wallace — Social Worker/Psychtherapist · (251) 421-0712
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 13, 2026
Mailing address480 Santa Rosa Blvd Unit 308e, Fort Walton Beach, FL 32548-6945

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