Carolyn Wallace, LICSW
Social Worker, Clinical in S Deerfield, Massachusetts
1962595835- Practice location
- 66 N Main St, S Deerfield, MA 01373-0137
- Phone
- 413-320-6950
- Fax
- —
- Last updated
- December 20, 2021
Carolyn Wallace is a Social Worker, Clinical based in S Deerfield, MA. Carolyn Wallace practices in S Deerfield, MA and has the professional credentials of LICSW. The NPI Number for Carolyn Wallace is 1962595835 and holds a License No. 119611 (MA). The current practice location address for Carolyn Wallace is 66 N Main St, S Deerfield, MA 01373-0137 and can be reached out via phone at 413-320-6950.
Provider Profile Details
- NPI Number
- 1962595835
- Provider Name
- Carolyn Wallace
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 N Main St, S Deerfield, MA 01373-0137
- Phone Number
- 413-320-6950
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 2, 2006
- Last Update Date
- December 20, 2021
- Certification Date
- December 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 N Main St
S Deerfield, MA 01373-0137 - City
- S Deerfield
- State
- Massachusetts
- Zip
- 01373-0137
- Phone Number
- 413-320-6950
Provider Business Mailing Address Details
- Address
- 66 N Main St
S Deerfield, MA 01373-0916 - City
- S Deerfield
- State
- MA
- Zip
- 01373-0916
- Phone Number
- 413-320-6950
License Information
- License Number
- 119611
- 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 S Deerfield, MA
View all Social Worker, Clinical providers in S Deerfield →Frequently Asked Questions
What is the NPI number of Carolyn Wallace, LICSW?
The NPI number of Carolyn Wallace, LICSW is 1962595835. It was assigned on October 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Carolyn Wallace, LICSW?
Carolyn Wallace, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119611.
Where does Carolyn Wallace, LICSW practice?
The practice location is 66 N Main St, S Deerfield, MA 01373-0137. The office can be reached at 413-320-6950 (phone).
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 1962595835 directly on the NPPES registry website.