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

Dana Wallace, LCSW, LICSW

Individual provider Clinical Social Worker · NPI 1144747205

Dana Wallace, LCSW, LICSW is a Clinical Social Worker in Fort Walton Beach, Florida. Qualified in 2021, 5 years ago. Practices with Bluewater Behavioral Health, Inc, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Florida.

Years since qualifying
5
Licensed in
AL, FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

480 Santa Rosa Blvd
Fort Walton Beach, FL 32548-6901
Phone: (251) 421-0712
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW24920 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6143C (AL)

Record details

NPI number1144747205
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedAugust 29, 2017
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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 Bluewater Behavioral Health, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Walton Beach