Lisa M Wall, LICSW, CADC-II
Social Worker, Clinical in Northampton, Massachusetts
1366758203- Practice location
- 120 Dunphy Drive, Northampton, MA 01062-9602
- Phone
- 413-230-2530
- Fax
- 413-327-9523
- Last updated
- August 10, 2023
Lisa M Wall is a Social Worker, Clinical based in Northampton, MA. Lisa M Wall practices in Northampton, MA and has the professional credentials of LICSW, CADC-II. The NPI Number for Lisa M Wall is 1366758203 and holds a License No. 122526 (MA). The current practice location address for Lisa M Wall is 120 Dunphy Drive, Northampton, MA 01062-9602 and can be reached out via phone at 413-230-2530 and via fax at 413-327-9523.
Provider Profile Details
- NPI Number
- 1366758203
- Provider Name
- Lisa M Wall
- Credential
- LICSW, CADC-II
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Dunphy Drive, Northampton, MA 01062-9602
- Phone Number
- 413-230-2530
- Fax Number
- 413-327-9523
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 30, 2010
- Last Update Date
- August 10, 2023
- Certification Date
- August 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Dunphy Drive
Northampton, MA 01062-9602 - City
- Northampton
- State
- Massachusetts
- Zip
- 01062-9602
- Phone Number
- 413-230-2530
- Fax Number
- 413-327-9523
Provider Business Mailing Address Details
- Address
- 120 Dunphy Dr
Northampton, MA 01062-9602 - City
- Northampton
- State
- MA
- Zip
- 01062-9602
- Phone Number
- 413-320-1751
License Information
- License Number
- 122526
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Northampton, MA
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- Alexa M HortonSocial Worker, Clinical · NPI 1124695259
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- Alexandria Huber, MSWSocial Worker, Clinical · NPI 1215484514
Frequently Asked Questions
What is the NPI number of Lisa M Wall, LICSW, CADC-II?
The NPI number of Lisa M Wall, LICSW, CADC-II is 1366758203. It was assigned on August 30, 2010 and is currently active in the NPPES registry.
What is the specialty of Lisa M Wall, LICSW, CADC-II?
Lisa M Wall, LICSW, CADC-II is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122526.
Where does Lisa M Wall, LICSW, CADC-II practice?
The practice location is 120 Dunphy Drive, Northampton, MA 01062-9602. The office can be reached at 413-230-2530 (phone) or 413-327-9523 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366758203 directly on the NPPES registry website.