Nancy E Wallick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SE6082 Issued in FL

Practice address

535 Central Ave Ste 316
St Petersburg, FL 33701-3703

Phone

(727) 894-6501

NPI assigned

Jul 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Naomi S. Korn, L.C.S.W.

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1538233523
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1316953359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTRAL AVE STE 316",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013703",
            "telephone_number": "727-894-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CENTRAL AVE STE 316",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013703",
            "telephone_number": "727-894-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLICK",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SE6082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761756900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Anne Wallace, NBCHWC
• Tiffany Wallace
• Erin Michelle Wallen, PT, DPT
• Maiye Ta'Kiyah Waller
• Phoebe Waller, M.S., CCC-SLP
• Maria Wallis-Crespo, M.D.
• Wachira Wallis
• Audra Mary Walsh, PH.D.
• Jacquelyn Marie Walsh, APRN
• John W. Walsh, M.D.

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, 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 Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.