Active NPI
Christine Anne Walker, L.I.C.S.W.
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1679505820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00942732
- Practice address
- BLDG 4-2130 Normandy Drive
HHC, Warrior Transition Battalion
Fayetteville, NC 28310 - Phone
- (910) 643-1642
- Fax
- (910) 643-1642
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1811 | NC | |
| Social Worker | 104100000X | 6859 | TN | |
| Clinical Social Worker | 1041C0700X | DP00942732 | WV | Primary |
| Clinical Social Worker | 1041C0700X | S0014427 | OH | |
| Clinical Social Worker | 1041C0700X | LC50079790 | DC |
Addresses
Primary practice location
BLDG 4-2130 Normandy Drive
HHC, Warrior Transition Battalion
Fayetteville, NC 28310
Mailing address
BLDG 4-2130 Normandy Drive
HHC, Warrior Transition Battalion
Fayetteville, NC 28310
Phone (910) 643-1642
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC50079790 | DC | MD | Clinical Social Worker |
| S0014427 | OH | MD | Clinical Social Worker |
| DP00942732 | WV | MD | Clinical Social Worker |
| 1811 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380412800000",
"number": "1679505820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 4-2130 NORMANDY DRIVE",
"address_2": "HHC, WARRIOR TRANSITION BATTALION",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-643-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 4-2130 NORMANDY DRIVE",
"address_2": "HHC, WARRIOR TRANSITION BATTALION",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-643-1642",
"fax_number": "910-643-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CHRISTINE",
"middle_name": "ANNE",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2013-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1811",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "6859",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00942732",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S0014427",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079790",
"primary": false
}
],
"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 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.