Individual provider Active NPI

Tamika Walker

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1235966037
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021065 Issued in NC
Practice address
6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834
Phone
(910) 339-0400
Fax
(910) 339-0396
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 P021065 NC Primary

Addresses

Primary practice location

6885 Cliffdale Rd Ste 202
Fayetteville, NC 28314-2834

Mailing address

220 Gladstone St
Raeford, NC 28376-3263
Phone (910) 551-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P021065NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Behavioral Health Center LLC CurrentSince Apr 20, 2026 Accepting new patients

Locations

6885 Cliffdale Rd
Ste 202
Fayetteville, NC 28314
Phone (910) 339-0393

Organizations & group practices 1

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1235966037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GLADSTONE ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763263",
            "telephone_number": "910-551-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142834",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TAMIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.