Mara Marie Walls, B.S.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2905 River Rd S
Salem, OR 97302-9754

Phone

(503) 391-7175

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amara Walls Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Professional Therapeutic Community Network, Inc

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1629223243
  NPD (past)
• Professional Therapuetic Community Network

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Salem, OR
  • NPI 1548636079
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1699222471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 RIVER RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 RIVER RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-391-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "MARA",
        "middle_name": "MARIE",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMARA",
            "last_name": "WALLS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayleen R Wall, HIS
• Bethany Wallace, LCSW
• James Thomas Wallace, D.C.
• Natalie Erin Wallace, DO
• Crystal Walling
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.
• Josie Walsh
• Melissa Walsh, P.A.

• Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.