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

Individual provider Clinical Social Worker · NPI 1841656311

Melissa Emily Wallace, LCSW is a Clinical Social Worker in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
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

1473 Cypress View Ln
Lakeland, FL 33811-2689
Phone: (863) 899-7613
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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 SW17470 (FL)

Record details

NPI number1841656311
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 13, 2016
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023

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