Individual provider Active NPI

Taiwannika Walker, LISW-S

  • Clinical Social Worker
  • Canal Winchester, OH
National Provider Identifier
1639726458
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203486 Issued in OH
Practice address
6213 Falla Dr
Canal Winchester, OH 43110-8545
Phone
(216) 612-7688
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1904088 OH
Clinical Social Worker 1041C0700X I.2203486 OH Primary

Addresses

Primary practice location

6213 Falla Dr
Canal Winchester, OH 43110-8545

Mailing address

6031 E Main St # 238
Columbus, OH 43213-3590
Phone (216) 303-3665

Other identifiers 1

IdentifierTypeStateIssuer
0367273MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230103000306 OH Practitioner - Clinical Social Worker 5193195485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1904088OHMDSocial Worker
I.2203486OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Time 4 Me Today Clinical CurrentSince Feb 8, 2021 Accepting new patients

Locations

1300 E 9th St
Ste 1200
Cleveland, OH 44114
Phone (216) 770-6487

6031 E Main St
Columbus, OH 43213
Phone (859) 328-2473

5120 Mayfield Rd
Lyndhurst, OH 44124
Phone (216) 835-7028

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1639726458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 E MAIN ST # 238",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133590",
            "telephone_number": "216-303-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 FALLA DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108545",
            "telephone_number": "216-612-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TAIWANNIKA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0367273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.