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

Donna Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1710199328

Donna Wallace, LCSW is a Clinical Social Worker in Davie, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

2110 SW 97 Ln
Davie, FL 33324
Phone: (954) 424-1023
Fax: (954) 916-1217
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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 SW2636 (FL)

Record details

NPI number1710199328
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2110 Sw 97 Lane, Davie, FL 33324

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