Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Wall, LICSW, CADC-II

Individual provider Clinical Social Worker · NPI 1366758203

Lisa M Wall, LICSW, CADC-II is a Clinical Social Worker in Northampton, Massachusetts. Qualified in 2015, 11 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2010
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

120 Dunphy Dr
Northampton, MA 01062-9602
Phone: (413) 230-2530
Fax: (413) 327-9523
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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 122526 (MA)

Record details

NPI number1366758203
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , CADC-II
Sole proprietorYes
NPI enumeratedAugust 30, 2010
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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