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GARY WALLER LCSW LLC
NPI 1447108550
Social Worker - Clinical in Picayune, MS

Active since March 17, 2026
1839 COOPER RD STE D, PICAYUNE, MS 39466(601) 749-9477(601) 749-0605 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Waller Lcsw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY WALLER LCSW LLC (NPI 1447108550) is a healthcare organization registered as a clinical in Picayune, Mississippi and active in the NPI registry since March 2026. The organization lists Gary Dwight Waller, Owner/ Therapist, as its authorized official.

NPPES Registry Identity

NPI1447108550
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGARY WALLER LCSW LLC
Location Address1839 COOPER RD STE DPicayune, MS 39466-2836
Mailing Address1839 Cooper Rd Ste DPicayune, MS 39466-2836 · (601) 749-9477 · Fax (601) 749-0605
Phone(601) 749-9477
Fax(601) 749-0605
Organization SubpartNo
Authorized OfficialGary Dwight WallerOwner/ Therapist · (601) 749-9477
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1447108550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1839 COOPER RD STE D, Picayune, MS 39466
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHONDA SIMMONS LCSW
Social Worker (Clinical)
1839 COOPER RD STE D
PICAYUNE, MS 39466
Pearl River County (601) 749-9477
KIMBERLY SAULS LLC
Social Worker
1839 COOPER RD STE D
PICAYUNE, MS 39466
Pearl River County (601) 749-9477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Waller Lcsw LLC's NPI number?

The NPI number for Gary Waller Lcsw LLC is 1447108550. It was assigned to this organization in the NPPES registry on March 17, 2026.

Where is Gary Waller Lcsw LLC located?

Gary Waller Lcsw LLC is located at 1839 Cooper Rd Ste D, Picayune, MS 39466. The listed phone number is (601) 749-9477.

What is Gary Waller Lcsw LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Gary Waller Lcsw LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.