Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY DWIGHT WALLER, LCSW
Active Sole ProprietorGARY DWIGHT WALLER, LCSW is a Social Worker healthcare provider located in PICAYUNE, Mississippi. NPI 1609546399 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PICAYUNE, MS
Registration Details
- NPI Number
- 1609546399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2021 (4.914914290638 yrs)
- Last Updated
- Feb 23, 2026
- License
-
C11878 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1839 COOPER RD STE DPICAYUNE, MS, 394662836Browse MS providers · Browse ZIP 39466
- Phone
- 6017499477
- Fax
- 6017490605
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in PICAYUNE, MS
| Name | Credential | NPI |
|---|---|---|
| JOHN H. CAMPBELL | LCSW | 1811905003 |
| PAULA J. RUSSELL | LCSW | 1508874843 |
| PAULA K SPOONER | LCSW | 1750471108 |
| HOLLY R SMITH | LCSW | 1578729836 |
| BREANNA DELORES MOORE | — | 1386290096 |
| RACHEL C DENSON | — | 1043833064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.