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

Casey Ann Wallace

Individual provider Social Worker · NPI 1346824331

Casey Ann Wallace is a Clinical Social Worker in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2845 N Sheridan Rd Ste 809
Chicago, IL 60657
Phone: (312) 761-4721
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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 · Licence 149026886 (IL)
Social Worker Taxonomy 104100000X

Record details

NPI number1346824331
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESJuly 4, 2024
Certification dateJuly 4, 2024
Mailing address3024 N Lincoln Ave Unit F, Chicago, IL 60657-4253

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 Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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