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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN WALLACE, LICSW

Active

CAROLYN WALLACE, LICSW is a Clinical Social Worker healthcare provider located in S DEERFIELD, Massachusetts. NPI 1962595835 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · S DEERFIELD, MA

Registration Details

NPI Number
1962595835
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2006 (19.688476153313 yrs)
Last Updated
Dec 20, 2021
License
119611 (MA)

Practice Information

Address
66 N MAIN ST
S DEERFIELD, MA, 013730137
Browse MA providers · Browse ZIP 01373
Phone
4133206950
Primary Specialty
Clinical Social Worker
1041C0700X
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.