Individual provider Active NPI

Kristy Walker, LCSW

  • Clinical Social Worker
  • Albertville, AL
National Provider Identifier
1679614945
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1991C Issued in AL
Practice address
123 Sand Mountain Dr NW
Albertville, AL 35950-1647
Phone
(562) 878-3809
Fax
(256) 878-8022
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 1991C AL Primary

Addresses

Primary practice location

123 Sand Mountain Dr NW
Albertville, AL 35950-1647

Mailing address

123 Sand Mountain Dr NW
Albertville, AL 35950-1647
Phone (562) 878-3809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20070810000181 AL Practitioner - Clinical Social Worker 0446341077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Sand Mountain Dr NW
Albertville, AL 35950-1647
Phone (256) 878-3809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1991CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dayspring Center for Christian Counseling Services, Inc. CurrentSince May 8, 2007 Accepting new patients

Locations

123 Sand Mountain Dr NW
Albertville, AL 35950
Phone (256) 878-3809

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1679614945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SAND MOUNTAIN DR NW",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501647",
            "telephone_number": "562-878-3809",
            "fax_number": "256-878-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SAND MOUNTAIN DR NW",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501647",
            "telephone_number": "562-878-3809",
            "fax_number": "256-878-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KRISTY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1991C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.