Talia Waitkus, LCSW BCBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6192C Issued in AL

Practice address

4236 Old Leeds LN
Mountain BRK, AL 35213-3314

Phone

(407) 227-7845

NPI assigned

Jul 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1174076293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 OLD LEEDS LN",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133314",
            "telephone_number": "407-227-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 OLD LEEDS LN",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352133314",
            "telephone_number": "407-227-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITKUS",
        "first_name": "TALIA",
        "credential": "LCSW BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW23067",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "6192C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vulcan Performance Mountain Brook, LLC
• Vulcan Performance Rehabilitation and Recovery LLC
• Christina Jones Wade, LMT
• Mary Tate Thomas Wade, ALC, MA
• Stephen Wade, LMT
• Nancy Walburn, LPC
• Kendall Waldrop, MS, RDN, LD
• Walgreen Co
• Emily P. Walker, ALC
• Beverly Ward, LPC

• Clinical Social Worker in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.