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

MS. Margaret Ann Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1700110764

MS. Margaret Ann Wallace, LCSW is a Clinical Social Worker in Southaven, Mississippi. Qualified in 2009, 17 years ago. Practices with Desoto Family Counseling Center PLLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Licensed in
MS
In the registry since
2009
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

8626 Airways Blvd
Southaven, MS 38671-2603
Phone: (662) 772-5937
Fax: (662) 772-5940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2725 Highway 51 S, Hernando, MS 38632-2634 — (662) 449-1808

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C7663 (MS)

Record details

NPI number1700110764
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2009
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Desoto Family Counseling Center Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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