Gary Waller, LCSW
Clinical Social Worker · Picayune, MS
Gary Waller, LCSW is a clinical social worker with a practice address in Picayune, Mississippi, and NPI 1609546399, issued on Sep 15, 2021. Check the license (Mississippi C11878, as entered in NPPES) with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Gary Waller
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- C11878 MS
Self-reported in NPPES; status is on the state search - Practice location
- 417 W Canal St, Picayune, MS 39466
- Phone
- (601) 749-9477
- Enumerated
- Sep 15, 2021
- Record last updated
- Jun 22, 2026
- Fax
- (769) 242-0030
- Medicare enrollment
- Enrolled (PECOS I20260506004333); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 1,028 in Mississippi → Look up another NPI →
Also registered at 417 W Canal St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Paula Duchmann, LCSWSchool Social Worker1508268269
- Jennifer Ladner-Graham, PHDPsychologist1346811338
- Kimberly Sauls, LCSWClinical Social Worker1043232390
- Catherine Waller, LCSWClinical Social Worker1952071631
Verify Gary Waller in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license C11878Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Gary Waller among 1,028 clinical social worker records in Mississippi
Gary Waller, LCSW is one of 1,028 clinical social worker records with a practice address in Mississippi. 13% 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 2021, is newer than 73% of them.
- NPI issued2021 · 73% of these records are older, 22% newer
- In a Medicare fileNo · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated2020 · median 2011 among the 232 with a school on file
- Record last updated2026 · 54% 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 Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 clinical social worker records list a practice address in Picayune
They are 10 of the 248 NPPES records with a practice address in Picayune, and 1,028 clinical social worker records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,028 in Mississippi → Every provider in Picayune → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Deslie Bonano, LCSW, BCDPicayune, MS 394661255340501
- Marilyn Gouguet, LCSWPicayune, MS 394661972518645
- Norlarn Hayes, LCSWPicayune, MS 394661881933604
- Desarae Rice, LCSWPicayune, MS 394661629321344
- Kimberly Sauls, LCSWPicayune, MS 394661043232390
- Rhonda Simmons, LCSWPicayune, MS 394661508081712
- Elizabeth Skipper, LCSWPicayune, MS 394661497477723
- Catherine Waller, LCSWPicayune, MS 394661952071631
Common questions
What is Gary Waller, LCSW's NPI number?
Gary Waller, LCSW's National Provider Identifier (NPI) is 1609546399, issued on Sep 15, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Gary Waller, LCSW located?
The NPPES record lists a practice address at 417 W Canal St, Picayune, MS, 39466. Phone: (601) 749-9477. Providers update this record themselves, so call before visiting.
How can I verify Gary Waller, LCSW's license?
NPPES lists Mississippi license number C11878, as entered by the provider. Search the Mississippi 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.