Bridget Marie Wall

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10111-C Issued in AR

Practice address

5700 Phoenix PL
Fort Smith, AR 72903-5782

Phone

(479) 441-2600

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Veterans Health Care System of the Ozarks

  • Primary Care Nurse Practitioner
  • Fort Smith, AR
  • NPI 1912785973
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1215730601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 PHOENIX PL",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035782",
            "telephone_number": "479-441-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 PHOENIX PL",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035782",
            "telephone_number": "479-441-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "BRIDGET",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10111-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Walker
• Mallory Faith Walker, PTA
• Tricia Kay Walker
• William Bradley Walker, LPC
• William Ray Walker
• Wallace Hays Family Chiropractic Clinic, PA
• Alana Wallace, QBHP
• Kenneth K Wallace, M.D.
• Katie Waller
• Toni Wallis, DC

• Clinical Social Worker in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.