Individual
DARCY WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
134507-121
WI
1041C0700X
Clinical Social Worker
12481
WI
1041C0700X
Clinical Social Worker
Primary
12481-123
WI
224Z00000X
Occupational Therapy Assistant
4681-27
WI
Other
Enumeration date
10/22/2010
Last updated
03/18/2026
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