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Search › Mississippi › Clinical Social Worker

Gary Waller, LCSW

NPI 1609546399 · on the registry since 2021 · sole proprietor

Practice

Address
417 W Canal St
Picayune, MS 39466
Phone
(601) 749-9477
Fax
(769) 242-0030
Organisation at this address
Rooted Counseling Llc
New Leaf Mental Health & Wellness, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi