Mrs Brooke Mary Wallace, LCSW, BCD in Lackland A F B, TX

Mrs Brooke Mary Wallace, LCSW, BCD is a Social Worker - Clinical based in Lackland A F B, Texas. Mrs Brooke Mary Wallace is licensed to practice in Texas (license number 51643) and her current practice location is 2200 Bergquist Dr, Suite 1, Lackland A F B, Texas. She can be reached at her office (for appointments etc.) via phone at (210) 508-9058.

NPI number for Mrs Brooke Mary Wallace is 1730228057 and her current mailing address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730228057.

Contact Information

	Mrs Brooke Mary Wallace, LCSW, BCD
	2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907
	(210) 508-9058
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Brooke Mary Wallace
Gender	Female
Speciality	Social Worker - Clinical
Location	2200 Bergquist Dr, Lackland A F B, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1730228057
Provider Enumeration Date: 02/05/2007
Last Update Date: 04/17/2018

Medical Identifiers

Medical identifiers for Mrs Brooke Mary Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730228057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	51643 (Texas)	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. Mrs Brooke Mary 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
Mrs Brooke Mary Wallace, LCSW, BCD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 508-9058	Mrs Brooke Mary Wallace, LCSW, BCD 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 Ph: (210) 508-9058

Reviews and Comments

Social Worker in Lackland A F B, TX

Ms. Melena K. Hewitt, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2239 Mcchord St Bldg 1245, Lackland A F B, TX 78236 Phone: 210-292-5967 Fax: 210-671-2207
Charles Edwin Hulshof, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1 Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6707
Christopher D. Cline, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6294 Fax: 210-292-6266
Barbara E. Severson-olson, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr Ste 1, Attn Credentials Cmc, Lackland A F B, TX 78236 Phone: 210-292-6707
Kirsten Hardy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2239 Mcchord St, Ste 2, Bldg 1245, Lackland A F B, TX 78236 Phone: 210-292-5967 Fax: 210-292-2207
Ms. Evelyn Paulma Laurel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236 Phone: 210-292-7719 Fax: 210-292-6266

Mrs Brooke Mary Wallace, LCSW, BCD - Clinical Social Worker in Lackland A F B, TX