Organization · Type 2 NPI
Gary Waller LCSW LLC
Clinical Social Worker · Picayune, MS
Practice location
1839 Cooper Rd Ste D
Picayune, MS 39466-2836
Fax (601) 749-0605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
2 other providers at this address
Other clinical social worker providers in Picayune
About NPI 1447108550
Gary Waller LCSW LLC's National Provider Identifier is 1447108550, issued on Mar 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Picayune, MS. The record was last updated on Mar 17, 2026.