La'Tonya Renae Walls, PHD

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

625048 Issued in WI

Practice address

2414 N 55TH St
Milwaukee, WI 53210-2743

Phone

(414) 763-1177

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1033386008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 N 55TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102743",
            "telephone_number": "414-763-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 N 55TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102743",
            "telephone_number": "414-763-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "LA'TONYA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "WI",
            "license": "625048",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "91-228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40950400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Wallenkamp, LPN
• Michael Waller
• Christine M Wallis, MS, RN, ACNS-BC
• Michael Leo Wallner, M.S., LPC, NCC
• Cathy Walls, PT
• Toya Lashun Walls, LPN
• Joel A Wallskog, MD
• Adrianne Walschinski, LPC
• Nicolina Walsgrove
• Devin Walsh-Felz, MD, MPH

• School Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• School Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.