Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952808024 Individual Practitioner Female Practitioner

Amanda Marie Wallace , LCSW

Case Manager/Care Coordinator • Mohall, ND

Professional Overview & Biography Verified Profile Summary

Amanda Wallace, LCSW is a registered healthcare professional specializing in Case Manager/Care Coordinator in Mohall, ND. Practice services are available at 205 MAIN ST E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 Main St E

Mohall, ND 587614014

Telephone 7017566374
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Mohall, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Mohall, ND (1566 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License ND 4524

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1473894 (ND)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 06, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 06, 2018

Registered at 205 MAIN ST E, MOHALL, ND 587614014 (Tel: 7017566374)

📍
Updated Business Mailing Address April 06, 2018

Registered at PO BOX 305, MOHALL, ND 587610305 (Tel: 7017566374)

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Provider Name / Credentials Updated April 06, 2018

Recorded as AMANDA WALLACE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2018

Case Manager/Care Coordinator (License #4524 in ND)

🟢
Initial NPI Registration & Enumeration April 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952808024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2018
Last Update: April 06, 2018
Sole Proprietor: No

Mailing Address

Po Box 305

Mohall, ND 587610305

Phone: 7017566374

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.