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

Mrs. Shawna Nicole Wallace, MA

Individual provider Social Worker · NPI 1225643679

Mrs. Shawna Nicole Wallace, MA is a Social Worker in Orlando, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

773 S Kirkman Rd Ste 119
Orlando, FL 32811-2046
Phone: (407) 496-2192
Fax: (407) 440-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1225643679
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedSeptember 12, 2020
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021

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