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

Codie Wallace, MSW

Individual provider Case Manager/Care Coordinator · NPI 1073759429

Codie Wallace, MSW is a Clinical Social Worker in Casper, Wyoming. Qualified in 2009, 17 years ago. Licensed in Wyoming.

Years since qualifying
17
Licensed in
WY
In the registry since
2009
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2510 E 15th St Ste 11
Casper, WY 82609-4111
Phone: (307) 234-9979
Fax: (307) 234-9989
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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 LCSW 800 (WY)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1073759429
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESSeptember 21, 2012
Mailing address2510 E 15th St, Suite 11, Casper, WY 82609-4111

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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