Sarene Malcha Wallick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7232 Issued in FL

Practice address

375 Douglas Ave Ste 2005
Altamonte Springs, FL 32714-3315

Phone

(407) 529-5359

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sarene Wallick LLC

  • Clinical Social Worker
  • Maitland, FL
  • NPI 1306156880
  Medicare reassignment NPD
• Menschner & Associates Counseling Services Inc

  • Clinical Social Worker
  • Altamonte Springs, FL
  • NPI 1447394887
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194817445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 GORE DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657058",
            "telephone_number": "407-927-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DOUGLAS AVE STE 2005",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143315",
            "telephone_number": "407-529-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLICK",
        "first_name": "SARENE",
        "middle_name": "MALCHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale F Walker, PT
• Walker, Hall, Et Al, Partnership (Developmental Pediatric Therapy Clinic)
• Wallace Counseling and Wellness, PLLC
• Kasie Wallace, MA, LMHC, QS
• Tamesha Waller
• Christy Suzanne Walls, FNP-C
• Jacqueline Walters
• Amanda Elizabeth Ward, APRN, NP-C
• Dennis Roy Ward, M.D.
• Sharon Warhurst

• Clinical Social Worker in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.