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

Janise Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1396348603

Janise Wallace, LCSW is a Clinical Social Worker in Ludowici, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

83 Hoffer Ln SE
Ludowici, GA 31316
Phone: (254) 238-9473
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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 CSW007370 (GA)

Record details

NPI number1396348603
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 18, 2020
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address83 Hoffer Ln Se, Ludowici, GA 31316