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

Debra J Wallace, LISW

Individual provider Social Worker · NPI 1174631121

Debra J Wallace, LISW is a Clinical Social Worker in Charleston, South Carolina. Qualified in 1999, 27 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
27
Licensed in
SC
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-0001
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6433 (SC)

Record details

NPI number1174631121
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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