Camilla Wallace, LCSW

  • Fort Wayne, IN
  • Clinical social worker
NPI1851572606PAC ID6901202050
Medicare patients, 2024
58
Affiliated sites
1
Medical groups
3
State licenses
2
Year NPI issued
2007
Practice address
6701 S Anthony Blvd, Fort Wayne, IN 46816
Practice phone
Call (260) 483-9081
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Extended Care Specialists, Inc

Fort Wayne, Indiana

See all 5 affiliations

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Camilla Wallace is a clinical social worker in Fort Wayne, Indiana

Camilla Wallace practices at Extended Care Specialists, Inc in Fort Wayne, Indiana.

Camilla Wallace's NPI, 1851572606, was assigned on November 21, 2007. Camilla Wallace holds Illinois license 149.013306.

NPI and contact details
Medicare PAC ID
6901202050
NPI enumeration date
November 21, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(260) 483-9081
Professional email
Get email
Personal email
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Mobile number
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Sex
Female
Estimated age
46
Medical school graduation
2006

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Camilla Wallace practices at Extended Care Specialists, Inc in Fort Wayne, Indiana

Camilla Wallace's primary practice is Extended Care Specialists, Inc, at 6701 S Anthony Blvd, Fort Wayne, IN 46816 in Allen County. The practice phone is (260) 483-9081.

  • Extended Care Specialists, Inc
    6701 S Anthony Blvd, Fort Wayne, IN 46816 · Allen CountyPhone(260) 483-9081

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Camilla Wallace is affiliated with 2 sites of care and 3 medical groups

Camilla Wallace's primary practice is Extended Care Specialists, Inc in Fort Wayne, Indiana. The medical group on file is Grow Therapy. Dmand AI also links Camilla Wallace to 2 more medical groups and 1 group practice or clinic, each named with a free account.

See all 5 affiliations for Camilla Wallace

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Camilla Wallace's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Camilla Wallace practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Extended Care Specialists, IncAvailable with a free account
+1 more site and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Camilla Wallace is one of 2,466 clinical social workers in Indiana

Social worker is Camilla Wallace's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Dmand AI has Camilla Wallace's licenses on file in 2 states: Illinois and Michigan.

Specialties and state licenses

  • Clinical social worker, IllinoisPrimaryLicense 149.013306 · taxonomy 1041C0700X
  • Michigan licenseLicense 6801093324

Clinical social workers near Camilla Wallace

Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Camilla Wallace treated 58 Medicare patients in 2024, average age 82

CMS counts 58 Medicare patients who saw Camilla Wallace in 2024. The largest group is 85 and over, with 26 patients. 75% of them have anxiety, and 75% have depression. 52% are also on Medicaid. Their average risk score is 2.35, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Camilla Wallace's median patient age at 77, with 44% women.

Medicare patients, 202458
Average age82
Average risk score2.35
Also on Medicaid52%

Camilla Wallace's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Camilla Wallace's Medicare patients by sex, 2024

  • Women3866%
  • Men2034%

Chronic conditions among Camilla Wallace's Medicare patients, 2024

  1. Anxiety75%
  2. Depression75%
  3. High blood pressure75%
  4. High cholesterol75%
  5. Mood disorders75%
  6. Alzheimer's and dementia60%
  7. Arthritis60%
  8. Heart failure43%

Share of Medicare patients with each condition. A patient can have several.

Camilla Wallace's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 77

Patient panel by sex, all payers

  • Women44%
  • Men56%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Camilla Wallace offers telehealth to Medicare patients

Camilla Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Camilla Wallace as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Camilla Wallace's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Camilla Wallace

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Camilla Wallace's NPI number?

Camilla Wallace's NPI number is 1851572606. It was assigned on November 21, 2007, and it is active in the NPI Registry.

What does Camilla Wallace specialize in?

Camilla Wallace is a clinical social worker in Fort Wayne, Indiana. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).

Where does Camilla Wallace practice?

Camilla Wallace practices at 6701 S Anthony Blvd, Fort Wayne, IN 46816. Camilla Wallace's primary practice is Extended Care Specialists, Inc in Fort Wayne, Indiana. Dmand AI also links Camilla Wallace to 2 medical groups and 1 group practice or clinic.

What is Camilla Wallace's office phone number?

The practice phone on file for Camilla Wallace is (260) 483-9081.

What is Camilla Wallace's medical license number?

Camilla Wallace holds Illinois license 149.013306, one of the licenses on file in 2 states.

Which states has Camilla Wallace been licensed in?

Dmand AI has state licenses on file for Camilla Wallace in Illinois and Michigan.

What medical group is Camilla Wallace part of?

Camilla Wallace is linked to Grow Therapy. Dmand AI links Camilla Wallace to 2 more medical groups.

Does Camilla Wallace accept Medicare?

Yes. CMS lists Camilla Wallace as accepting Medicare assignment.

Does Camilla Wallace offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Camilla Wallace as offering telehealth services.

How many Medicare patients does Camilla Wallace see?

CMS counts 58 Medicare patients who saw Camilla Wallace in 2024, with an average age of 82.

How long has Camilla Wallace been practicing?

Camilla Wallace graduated from medical school in 2006, 20 years ago.

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