Carolyn Wallace, LICSW
Clinical Social Worker · S Deerfield, MA
Carolyn Wallace, LICSW is a clinical social worker with a practice address in S Deerfield, Massachusetts, and NPI 1962595835, issued on Oct 2, 2006. Check the license (Massachusetts 119611, as entered in NPPES) with the Massachusetts board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Carolyn Wallace
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 119611 MA
Self-reported in NPPES; status is on the state search - Practice location
- 66 N Main St, S Deerfield, MA 01373
- Phone
- (413) 320-6950
- Enumerated
- Oct 2, 2006
- Record last updated
- Dec 20, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicaid ID
- 11011717B MA
- Medicare enrollment
- Enrolled (PECOS I20090924000166); accepts Medicare assignment
- Medical or professional school
- Temple University School Of Medicine, 1994
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 17,815 in Massachusetts → Look up another NPI →
Verify Carolyn Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license 119611Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Carolyn Wallace among 17,815 clinical social worker records in Massachusetts
Carolyn Wallace, LICSW is one of 17,815 clinical social worker records with a practice address in Massachusetts. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 85% newer
- In a Medicare fileNo · 8% of these records are
- In the CMS Doctors and Clinicians fileYes · 17% of these records are
- Graduated1994 · median 2004 among the 3,059 with a school on file
- Record last updated2021 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Social Worker providers in Massachusetts
There are 17,815 clinical social worker records in Massachusetts. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 17,815 in Massachusetts → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Judith Bellino, LICSWSouth Deerfield, MA 013731700363744
- Grant Bialek, LICSWSouth Deerfield, MA 013731700800935
- Shanta Cortez-Greig, LCSWSouth Deerfield, MA 013731801146956
- Barbara Darthenay, LICSWSouth Deerfield, MA 013731790898591
- Monique Doherty, LICSWSouth Deerfield, MA 013731538630538
- Melissa Eich-RichardsonSouth Deerfield, MA 013731386026789
- Jill Fleischner, LICSWSouth Deerfield, MA 013731841332574
- Jacqueline Humphreys, LICSWSouth Deerfield, MA 013731144400938
Common questions
What is Carolyn Wallace, LICSW's NPI number?
Carolyn Wallace, LICSW's National Provider Identifier (NPI) is 1962595835, issued on Oct 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Carolyn Wallace, LICSW located?
The NPPES record lists a practice address at 66 N Main St, S Deerfield, MA, 01373. Phone: (413) 320-6950. Providers update this record themselves, so call before visiting.
How can I verify Carolyn Wallace, LICSW's license?
NPPES lists Massachusetts license number 119611, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.