Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN WALLACE, LICSW
ActiveCAROLYN 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 STS DEERFIELD, MA, 013730137Browse 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.