Pearla Duncan Wall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000425 Issued in GA

Practice address

2784 N Decatur Rd
Ste 145
Decatur, GA 30033-5903

Phone

(404) 292-2664

Fax

(404) 292-2835

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sessley Counesling Services, Inc

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1902212335
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013088335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WHITEHAWK TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437162",
            "telephone_number": "770-277-9122",
            "fax_number": "770-277-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 N DECATUR RD",
            "address_2": "STE 145",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335903",
            "telephone_number": "404-292-2664",
            "fax_number": "404-292-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "PEARLA",
        "middle_name": "DUNCAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharifa Winbush Walker, DDS
• Shevon Walker
• Alysa Gredel Wall, PSY.D.
• Jackie Hornbeck Wall, LPC
• Malissa Wall, D.O.
• John Burton Wallace V, LCSW
• Kathryn Wallace, PHARMD
• Paige Wallace, PHARMD
• Tonya Renee Wallace, FNP
• Yasmine Wallace

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.