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Active NPI 1548934227 Individual Practitioner Male Practitioner

Micah Wallace , CDCA

Case Manager/Care Coordinator • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Micah Wallace, CDCA is a registered healthcare professional specializing in Case Manager/Care Coordinator in Cincinnati, OH. Practice services are available at 909 SYCAMORE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

909 Sycamore St

Cincinnati, OH 452021305

Telephone 5135589006
Fax 5135583880
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
3847 Specialists

Practicing in Cincinnati, OH (35490 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

CMS Verified: 2022-07-08
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License OH 181021

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

Commercial Insurance / Payer ID Cdca
181021 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Darrell Twyman

Case Manager/Care Coordinator

NPI 1003391194
Gihani Isaacs

Case Manager/Care Coordinator

NPI 1013525823
Taylor Heger

Case Manager/Care Coordinator

NPI 1033789193
Zacary Tabler

Social Worker - Clinical

NPI 1033868054
Daria Hall

Case Manager/Care Coordinator

NPI 1043642572
Drema Keyer , LSW

Social Worker

NPI 1043876154

Licensed Social Worker

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated July 08, 2022

Recorded as MICAH WALLACE, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2022

Case Manager/Care Coordinator (License #181021 in OH)

NPI Profile Active August 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2021

Registered at 909 SYCAMORE ST, CINCINNATI, OH 452021305 (Tel: 5135589006)

📍
Updated Business Mailing Address August 05, 2021

Registered at 311 ALBERT SABIN WAY, CINCINNATI, OH 452292838 (Tel: 5135589006)

👤
Provider Name / Credentials Updated August 05, 2021

Recorded as MICAH WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration August 05, 2021

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: 1548934227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2021
Last Update: July 08, 2022
Sole Proprietor: No

Mailing Address

311 Albert Sabin Way

Cincinnati, OH 452292838

Phone: 5135589006

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.