About

Camilla Wallace is a Clinical Social Worker in Evanston, Illinois. She graduated in 2006. She has over 16 years of experience. Camilla Wallace is a group member of Extended Care Specialists, Inc. Contact Camilla Wallace to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 6901202050

Entity Type: Individual; Not Sole Proprietor

Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: Self Design, Inc

Gender

Female

Years in Practice

16 years

Healthcare Provider Taxonomy

  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Licensed Clinical Social Worker (LCSW)

Group Practices

Group practices this therapist belongs to includes:

Extended Care Specialists, Inc
Address 3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Group PAC ID 2466407713
Group Members 155

Licenses

Name License Number State
LCSW 149.013306 Verify IL
Social Worker 6801093324 Verify MI

Education

Year Graduated
2006

Practice Locations

1007 Church St

Suite 302

Evanston, IL 60201-3624

Phone Number: (847) 492-1938

Fax Number: (847) 423-5670

3512 Stellhorn Rd

Fort Wayne, IN 46815-4631

Phone Number: (260) 483-9081

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Linda W. Walker

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