Shana Wallace
Shana Wallace is a Clinical Social Worker in Springfield, Massachusetts. Qualified in 2021, 5 years ago. Practices with James Levine and Associates P C, a 5-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2019
Practice location Address checks out
417 Liberty StSpringfield, MA 01104-3736
Phone: (413) 246-9675
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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 |
|---|
Record details
| NPI number | 1922665173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 23, 2019 |
| Last updated in NPPES | September 3, 2021 |
| Certification date | July 1, 2021 |
| Mailing address | 417 Liberty St, Springfield, MA 01104-3736 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | James Levine And Associates P C — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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