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

Azaia Wallace

Individual provider Social Worker · NPI 1982287876

Azaia Wallace is a Clinical Social Worker in Wesley Chapel, Florida. Qualified in 2021, 5 years ago. Practices with Bmsc Nv LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Licensed in
NV
In the registry since
2021
Specialties on file
3

Practice location Address checks out

8039 Lennox Loop
Wesley Chapel, FL 33544-3503
Phone: (918) 859-5775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6767 W Tropicana Ave Ste 100, Las Vegas, NV 89103-4755 — (702) 209-0370

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10883-C (NV)
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1982287876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address8039 Lennox Loop, Wesley Chapel, FL 33544-3503

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bmsc Nv Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wesley Chapel