Darla Kay McKim, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007224A Issued in IN

Practice address

5578 W 1100 N
Wheatfield, IN 46392-7012

Phone

(219) 270-3395

Fax

(708) 895-7602

NPI assigned

Apr 11, 2007

Last updated

Jun 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Darla Kay Walstra Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Leaf Resources

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  • NPI 1508824830
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1184847501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 177TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381722",
            "telephone_number": "219-270-3395",
            "fax_number": "708-895-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 W 1100 N",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "463927012",
            "telephone_number": "219-270-3395",
            "fax_number": "708-895-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "DARLA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33004500A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007224A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLA",
            "last_name": "WALSTRA",
            "middle_name": "KAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kankakee Vallley School Corporation
• Kathleen Kleefisch, DNP, FNP-BC
• Krol Family Medicine LLC
• Lori S Krol, APRN-BC
• Aldo Mario Largura, DDS
• Kimberly A Ott, FNP-C
• Jennifer Lynn Rayner, FNP-C
• Kalynn Solomey, DNP
• Heather Lynn Stokes, FNP
• Emily Swim

• Clinical Social Worker in Wheatfield, IN
• Providers in Wheatfield, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.