Individual provider Active NPI

O'Neil Orain Walker, LCSWA

  • Clinical Social Worker
  • Salisbury, NC
National Provider Identifier
1659794626
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
POO8350 Issued in NC
Practice address
417 N Main St
Suite B
Salisbury, NC 28144-4376
Phone
(704) 636-5522
Fax
(704) 636-5533
NPI assigned
Jan 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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 POO8350 NC Primary

Addresses

Primary practice location

417 N Main St
Suite B
Salisbury, NC 28144-4376

Mailing address

725 Crescent Rd
Rockwell, NC 28138-7515
Phone (704) 279-5556

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
POO8350NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Bridges LLC Past Accepting new patients
Nazareth Children'S Home Clinical Past Accepting new patients

Organizations & group practices 2

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": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1659794626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CRESCENT RD",
            "city": "ROCKWELL",
            "state": "NC",
            "postal_code": "281387515",
            "telephone_number": "704-279-5556",
            "fax_number": "704-255-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444376",
            "telephone_number": "704-636-5522",
            "fax_number": "704-636-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "O'NEIL",
        "middle_name": "ORAIN",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "POO8350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.