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

Carly Wallace, LCSW

Individual provider Clinical Social Worker · NPI 1780040600

Carly Wallace, LCSW is a Clinical Social Worker in New Britain, Connecticut. Qualified in 2013, 13 years ago. Practices with Inner Wellness Counseling Group LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and Massachusetts.

Years since qualifying
13
Licensed in
CT, MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

233 Main St
New Britain, CT 06051-4204
Phone: (860) 977-2324
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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 · Licence 11655 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 120747 (MA)

Record details

NPI number1780040600
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 7, 2016
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address21 Bidwell Sq, Unionville, CT 06085-1115

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Inner Wellness Counseling Group Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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