Janise Wallace, LCSW is a
Social Worker - Clinical based in Ludowici, Georgia. Janise Wallace is licensed to practice in Georgia (license number CSW007370) and her current practice location is
83 Hoffer Ln Se, Ludowici, Georgia. She can be reached at her office (for appointments etc.) via phone at
(254) 238-9473.
NPI number for Janise Wallace is 1396348603 and her current mailing address is 83 Hoffer Ln Se, Ludowici, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396348603.
Healthcare Provider's Profile
Full Name | Janise Wallace |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 83 Hoffer Ln Se, Ludowici, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396348603
- Provider Enumeration Date: 11/18/2020
- Last Update Date: 11/18/2020
Medical Identifiers
Medical identifiers for Janise Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396348603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW007370 (Georgia) | 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. Janise Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Janise Wallace, LCSW 83 Hoffer Ln Se, Ludowici, GA 31316 Ph: (254) 238-9473 | Janise Wallace, LCSW 83 Hoffer Ln Se, Ludowici, GA 31316 Ph: (254) 238-9473 |
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