What is Gary Waller's NPI number?

Gary Waller's National Provider Identifier (NPI) is 1609546399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gary Waller's specialty?

Gary Waller is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Gary Waller located?

Gary Waller's practice location on file with NPPES is 1839 Cooper Rd Ste D, Picayune, MS 39466-2836.

What is Gary Waller's phone number?

The practice phone number listed in the NPPES registry for Gary Waller is (601) 749-9477.

Is Gary Waller's NPI active?

Yes — Gary Waller's NPI (1609546399) is active in the NPPES registry as of the last update on 2026-03-12.

IndividualActive

Gary Waller, LCSW

NPI 1609546399 · Clinical Social Worker · Picayune, MS

Gary Waller, LCSW is a Clinical Social Worker provider in Picayune, MS (NPI 1609546399).

Provider details

NPI number: 1609546399
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes
License: C11878 (MS)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense C11878 (MS)
Behavioral Health & Social Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1839 Cooper Rd Ste D

Picayune, MS 39466-2836

Phone: (601) 749-9477

Fax: (601) 749-0605

Street-level locationGet directions

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Mailing address