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

MS. Felicia Lee Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1215294152

MS. Felicia Lee Wallace, LCSW is a Clinical Social Worker in Hampton, Virginia. Qualified in 2005, 21 years ago. Licensed in Illinois and Virginia.

Years since qualifying
21
Licensed in
IL, VA
In the registry since
2012
Specialties on file
3
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

100 Emancipation Dr Bldg 71
Hampton, VA 23667-0001
Phone: (757) 722-9961
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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
Clinical Social Worker Taxonomy 1041C0700X · Licence 149028883 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904018214 (VA)

Record details

NPI number1215294152
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 17, 2012
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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