Individual provider · Type 1 NPI

Sherrie Thang Waller, LCSW

Clinical Social Worker · Jackson Heights, NY

NPI number 1497270466 Active

Practice location

3421 78th St Apt 6I
Jackson Heights, NY 11372-2514

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	091962 (NY)

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…

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About NPI 1497270466

Sherrie Thang Waller, LCSW's National Provider Identifier is 1497270466, issued on Aug 10, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson Heights, NY. The record was last updated on Oct 30, 2025.