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

Dr. Wanda Dannette Wallace, DSW, LCSW

Individual provider Clinical Social Worker · NPI 1043866411

Dr. Wanda Dannette Wallace, DSW, LCSW is a Clinical Social Worker in Pensacola, Florida. Qualified in 2019, 7 years ago. Practices with Meridian Behavioral Health Inc, a 16-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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

9013 University Pkwy Ste C
Pensacola, FL 32514-9421
Phone: (850) 380-8320
Fax: (850) 478-7802
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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 SW13939 (FL)

Record details

NPI number1043866411
Entity typeIndividual (Type 1)
GenderFemale
Credentials DSW , LCSW
Sole proprietorNo
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 20, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Meridian Behavioral Health Inc — 16 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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