Active NPI
Danielle Wallace, LMSW-T.
- Social Worker
- Wichita, KS
National Provider Identifier
1265322705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14442
- Practice address
- 1029 W Douglas Ave Ste 211
Wichita, KS 67213-4756 - Phone
- (316) 542-1120
- Fax
- (315) 462-0543
- NPI assigned
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14442 | KS | Primary |
Addresses
Primary practice location
1029 W Douglas Ave Ste 211
Wichita, KS 67213-4756
Mailing address
410 S Main St
Cheney, KS 67025-8698
Phone (316) 542-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14442 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1265322705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S MAIN ST",
"city": "CHENEY",
"state": "KS",
"postal_code": "670258698",
"telephone_number": "316-542-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 W DOUGLAS AVE STE 211",
"city": "WICHITA",
"state": "KS",
"postal_code": "672134756",
"telephone_number": "316-542-1120",
"fax_number": "315-462-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "DANIELLE",
"credential": "LMSW-T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "14442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.