Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Codie Wallace, MSW

Individual provider Case Manager/Care Coordinator · NPI 1073759429

Codie Wallace, MSW is a Clinical Social Worker in Casper, Wyoming. Qualified in 2009, 17 years ago. Licensed in Wyoming.

Years since qualifying
17
Licensed in
WY
In the registry since
2009
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2510 E 15th St Ste 11
Casper, WY 82609-4111
Phone: (307) 234-9979
Fax: (307) 234-9989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW 800 (WY)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1073759429
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESSeptember 21, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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