Misty Lynn Wall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35084 Issued in TX

Practice address

401 W Sanford St
Ste1200
Arlington, TX 76011-7087

Phone

(817) 548-1663

Fax

(817) 548-9895

NPI assigned

Jun 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Wall & Associates, LLC

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1154952901
  NPD Authorized official
• Helen Farabee Centers

  • Community/Behavioral Health Agency
  • Wichita Falls, TX
  • NPI 1457479511
  NPD (past)
• Helen Farabee Regional Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita Falls, TX
  • NPI 1033494273
  NPD (past)
• The Women's Center of Tarrant County

  • Voluntary or Charitable Agency
  • Fort Worth, TX
  • NPI 1376097998
  NPD (past)
• The Womens Center of Tarrant County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
  • NPI 1114906633
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720026917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W SANFORD ST",
            "address_2": "STE1200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760117087",
            "telephone_number": "817-548-1663",
            "fax_number": "817-548-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W SANFORD ST",
            "address_2": "STE1200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760117087",
            "telephone_number": "817-548-1663",
            "fax_number": "817-548-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "MISTY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy E Walker, LISW
• W. Ford Walker, DDS
• William Walker
• William David Walker, MD
• Brenda B Wall, PHD
• Antonio Marquez Wallace
• Danielle Wallace, BS
• Diane E Wallace, RD, CDE, RMT
• Kenneth Lee Wallace, DDS
• Rene Wallace

• Clinical Social Worker in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.