Individual provider Active NPI

Michele L Walker, LCSW

  • Clinical Social Worker
  • Tifton, GA
National Provider Identifier
1366467268
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003267 Issued in GA
Practice address
2014 Pineview Ave
Tifton, GA 31794-3035
Phone
(229) 387-8878
Fax
(229) 387-8881
NPI assigned
Jul 12, 2006
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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 003267 GA Primary

Addresses

Primary practice location

2014 Pineview Ave
Tifton, GA 31794-3035

Mailing address

2014 Pineview Ave
Tifton, GA 31794-3035
Phone (229) 387-8878

Other names 1

  • Mrs. Michele L Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000740 GA Practitioner - Clinical Social Worker 4688652316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ar Psychiatric and Counseling Center LLCGroup PAC ID 9335326941, 11 clinicians

Practice addresses (Care Compare)

3312 N Oak St Ext
BLDG D
Valdosta, GA 31605-1066
Phone (229) 244-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ar Psychiatric & Counseling Center LLC CurrentSince Jun 1, 2011 Accepting new patients
South Georgia Psychiatric & Counseling Center Past Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia Past Accepting new patients

Locations

2014 Pineview Ave
Tifton, GA 31794
Phone (229) 387-8878

3312 N Oak Street Ext
Valdosta, GA 31605
Phone (229) 244-2030

3312 N Oak Street Ext
Bldg D
Valdosta, GA 31605
Phone (229) 244-2030

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1366467268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 PINEVIEW AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943035",
            "telephone_number": "229-387-8878",
            "fax_number": "229-387-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 PINEVIEW AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943035",
            "telephone_number": "229-387-8878",
            "fax_number": "229-387-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "WALKER",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.