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

MS. Mary Wallis, LCSW

Individual provider Clinical Social Worker · NPI 1447689971

MS. Mary Wallis, LCSW is a Clinical Social Worker in Elmira, New York. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

100 Washington St
Elmira, NY 14901-2849
Phone: (607) 737-4745
Fax: (607) 737-4813
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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 086618

Record details

NPI number1447689971
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESMarch 7, 2018

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