Gary Waller, LCSW
Gary Waller, LCSW is a Clinical Social Worker in Picayune, Mississippi. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Mississippi.
- Years since qualifying
- 6
- Licensed in
- MS
- In the registry since
- 2021
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
417 W Canal StPicayune, MS 39466-3951
Phone: (601) 749-9477
Fax: (769) 242-0030
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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 C11878 (MS) |
|---|
Record details
| NPI number | 1609546399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2021 |
| Last updated in NPPES | June 22, 2026 |
| Certification date | June 22, 2026 |
| Mailing address | 417 W Canal St, Picayune, MS 39466-3951 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Picayune
-
Kimberly C Sauls, LCSW
417 W Canal St, Picayune, MS 39466-3951 · (601) 749-9477
-
Rhonda Simmons, LCSW
1839 Cooper Rd Ste D, Picayune, MS 39466-2836 · (601) 749-9477
-
Elizabeth Ann Skipper, LCSW
15044 Fleming Rd, Picayune, MS 39466-7502 · (601) 337-1586
-
Catherine Waller, LCSW
417 W Canal St, Picayune, MS 39466-3951 · (601) 749-9477
-
Joy A. Weidemann, LCSW
120 Street A Ste C, Picayune, MS 39466 · (601) 215-6087