1. Home
  2. Directory
  3. New York
  4. Elmira
  5. Social Worker
  6. NPI Profile

MS. MARY WALLIS LCSW
NPI 1447689971
Social Worker - Clinical in Elmira, NY

Active since November 05, 2013
100 WASHINGTON ST, ELMIRA, NY 14901(607) 737-4745(607) 737-4813 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Wallis Lcsw NPPES

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

MS. MARY WALLIS LCSW (NPI 1447689971) is an individual clinical provider in Elmira, New York, licensed in (086618) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1447689971
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY WALLISCredential: LCSW
Location Address100 WASHINGTON STElmira, NY 14901-2849
Mailing Address115 Liberty StBath, NY 14810-1508 · (607) 664-2255
Phone(607) 737-4745
Fax(607) 737-4813
Sole ProprietorNo
Enumeration DateNovember 5, 2013
Last NPPES UpdateMarch 7, 2018
✔ NPI 1447689971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed · 086618
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.
100 WASHINGTON ST, Elmira, NY 14901
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

CRYSTAL JOY MILLER LPN
Licensed Practical Nurse
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (607) 737-4700
NANCY ROBERTA RIEGEL RN
Registered Nurse (Psychiatric/Mental Health)
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (276) 591-8125
MARTHA NGILI RN
Registered Nurse (Psychiatric/Mental Health)
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (607) 737-4700
MARY C EVANS R.N.
Registered Nurse
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (607) 535-3563
MS. CATHERINE MAY SHEA PNP
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (607) 737-4811
LISA A BROWER
Registered Nurse (Psychiatric/Mental Health)
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (607) 737-4700
KALI RENEE AYAZ
Licensed Practical Nurse
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (607) 738-4678
EDWARD ALLING RN
Registered Nurse
100 WASHINGTON ST
ELMIRA, NY 14901
Chemung County (607) 737-4700

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 Mary Wallis's NPI number?

The NPI number for Mary Wallis is 1447689971. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Mary Wallis located?

Mary Wallis practices at 100 Washington St, Elmira, NY 14901. The listed phone number is (607) 737-4745.

What is Mary Wallis'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 Mary Wallis was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.