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

Laura Wallis, LICSW

Individual provider Clinical Social Worker · NPI 1689768590

Laura Wallis, LICSW is a Clinical Social Worker in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

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.

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Practice location Address checks out

110 Maple St
Springfield, MA 01105-1864
Phone: (413) 734-3151
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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 111512 (MA)

Record details

NPI number1689768590
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address110 Maple St, Springfield, MA 01105-1864

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