Mrs Victoria Wallace, LCSW | |
112 Desirable Lane, Monroe, LA 71203 | |
(318) 651-9866 | |
Not Available |
Full Name | Mrs Victoria Wallace |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 30 Years |
Location | 112 Desirable Lane, Monroe, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326353442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6772 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Delta Human Services Authority | 2961726005 | 14 |
Entity Name | Northeast Delta Human Services Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033551833 PECOS PAC ID: 2961726005 Enrollment ID: O20150121001268 |
Mailing Address | Practice Location Address |
---|---|
Mrs Victoria Wallace, LCSW 112 Desirable Lane, Monroe, LA 71203 Ph: (318) 651-9866 | Mrs Victoria Wallace, LCSW 112 Desirable Lane, Monroe, LA 71203 Ph: (318) 651-9866 |
Nicole Cabello, LCSW-BACS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 Hudson Ln Ste 15, Monroe, LA 71201 Phone: 318-309-1862 | |
Jada Leigh Ali, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 Oliver Rd, Monroe, LA 71201 Phone: 318-329-9455 Fax: 318-329-9492 | |
Mary Thoman, CLINICAL SOCIAL WORK Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2210 Elizabeth St, Monroe, LA 71201 Phone: 318-330-7529 Fax: 318-330-7520 | |
Ms. Sherry Lynn Free, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 Cole Ave, Monroe, LA 71203 Phone: 318-355-2761 Fax: 318-343-8915 | |
Vonthisha C Wiley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 422 Bunker Ln, Monroe, LA 71203 Phone: 318-497-3264 | |
Holly Carter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1691 Bienville Dr, Monroe, LA 71201 Phone: 318-998-7881 | |
Ms. Deborah Lynn Doublin, LCSW, LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Washington St, Suite B-2, Monroe, LA 71201 Phone: 318-325-8782 Fax: 318-325-8749 |