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

Mr. Michael Patrick Wall, LCSWC

Individual provider Clinical Social Worker · NPI 1063552586

Mr. Michael Patrick Wall, LCSWC is a Clinical Social Worker in Severna Park, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007

Practice location Address checks out

692 Ritchie Hwy Ste 203
Severna Park, MD 21146-3919
Phone: (410) 647-4862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSWC07449 (MD)

Record details

NPI number1063552586
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWC
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address64 Dungarrie Rd, Balto, MD 21228-3401

Other providers in Severna Park