Individual provider Active NPI

Cheryl Jane Walters, LICSW

  • Clinical Social Worker
  • Beckley, WV
National Provider Identifier
1013972504
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00938370 Issued in WV
Practice address
200 Veterans Ave
VA Medical Center
Beckley, WV 25801
Phone
(304) 255-2121
Fax
(304) 256-5483
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00938370 WV Primary

Addresses

Primary practice location

200 Veterans Ave
VA Medical Center
Beckley, WV 25801

Mailing address

1134 Pen Mar Ave
Bluefield, WV 24701-3406
Phone (304) 323-2621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615002402 WV Practitioner - Clinical Social Worker 7315305877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beautiful Minds Counseling CenterGroup PAC ID 7810371481, 3 clinicians

Practice addresses (Care Compare)

108 Morrison Dr
Princeton, WV 24740-2322
Phone (681) 282-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Minds Counseling Center CurrentSince Jan 1, 2025 Accepting new patients
Sylvia a. Wright Dba Sunrise Counseling Services LLC Past Accepting new patients

Locations

479 New Hope Rd
Princeton, WV 24740
Phone (276) 245-2701

108 Morrison Dr
Princeton, WV 24740
Phone (681) 282-5678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013972504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 PEN MAR AVE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013406",
            "telephone_number": "304-323-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VETERANS AVE",
            "address_2": "VA MEDICAL CENTER",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-255-2121",
            "fax_number": "304-256-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHERYL",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00938370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.