Carolyn Wallace, LICSW
Carolyn Wallace, LICSW is a Clinical Social Worker in S Deerfield, Massachusetts. Graduated from Temple University School of Medicine in 1994, 32 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.
- Years since qualifying
- 32
- Trained at
- Temple University School of Medicine
- Licensed in
- MA
- In the registry since
- 2006
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
66 N Main StS Deerfield, MA 01373-0137
Phone: (413) 320-6950
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 119611 (MA) |
|---|
Record details
| NPI number | 1962595835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | October 2, 2006 |
| Last updated in NPPES | December 20, 2021 |
| Certification date | December 16, 2021 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1994 (32 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |