Individual provider Active NPI

Michelle Lee Walker, LCSWA

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1467042465
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014642 Issued in NC
Practice address
313 Walnut St Ste 101
Wilmington, NC 28401-4063
Phone
(910) 248-4530
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 P014642 NC Primary

Addresses

Primary practice location

313 Walnut St Ste 101
Wilmington, NC 28401-4063

Mailing address

313 Walnut St Ste 101
Wilmington, NC 28401-4063
Phone (910) 248-4530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle@saltandcypresscounseing.com

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
P014642NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1467042465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014063",
            "telephone_number": "910-248-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014063",
            "telephone_number": "910-248-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@saltandcypresscounseing.com",
            "affiliation": "N",
            "endpointDescription": "gsuite BAA secure email",
            "address_1": "313 Walnut St Ste 101",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284014063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.