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

Individual provider Clinical Social Worker · NPI 1629555677

Christine Ann Waller, LICSW is a Clinical Social Worker in Troy, Ohio. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

125 Fox Harbor Dr
Troy, OH 45373-1088
Phone: (413) 627-0152
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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 115461 (MA)

Record details

NPI number1629555677
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 23, 2018
Last updated in NPPESJuly 23, 2018

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