Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Waller LCSW LLC

Organization Clinical Social Worker · NPI 1447108550

Gary Waller LCSW LLC is a Clinical Social Worker in Picayune, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1839 Cooper Rd Ste D
Picayune, MS 39466-2836
Phone: (601) 749-9477
Fax: (601) 749-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1447108550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Waller — Owner/ Therapist · (601) 749-9477
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address1839 Cooper Rd Ste D, Picayune, MS 39466-2836

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