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

Caitlyn Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1013873579

Caitlyn Wallace, LCSW is a Clinical Social Worker in Powhatan, Virginia. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

3910 Old Buckingham Rd
Powhatan, VA 23139-5757
Phone: (804) 598-2200
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904019712 (VA)

Record details

NPI number1013873579
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025
Mailing address3910 Old Buckingham Rd Ste A, Powhatan, VA 23139-5757

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Powhatan