Carolyn Wallace, LICSW is a medicare enrolled "Social Worker - Clinical" provider in S Deerfield, Massachusetts. Her current practice location is
66 N Main St, S Deerfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 320-6950.
Carolyn Wallace is licensed to practice in Massachusetts (license number 119611) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962595835.
Healthcare Provider's Profile
Full Name | Carolyn Wallace |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 66 N Main St, S Deerfield, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carolyn Wallace attended and graduated from in
NPI Data:
- NPI Number: 1962595835
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carolyn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962595835 | NPI | - | NPPES |
11011717B | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 119611 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Wallace is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolyn Wallace, LICSW 66 N Main St, S Deerfield, MA 01373-0916 Ph: (413) 320-6950 | Carolyn Wallace, LICSW 66 N Main St, S Deerfield, MA 01373-0137 Ph: (413) 320-6950 |
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