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

Dana Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1093549420

Dana Wallace, LCSW is a Clinical Social Worker in Bozrah, Connecticut. Licensed in Connecticut. Registered with an NPI since 2024.

Licensed in
CT
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

28 Haughton Rd
Bozrah, CT 06334-1207
Phone: (860) 917-0790
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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 013881 (CT)

Record details

NPI number1093549420
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address55 Halls Hill Rd # 1, Colchester, CT 06415-1402

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