Vanessa M Walter, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009263 Issued in NC

Practice address

952 Copperfield Blvd NE
Concord, NC 28025-2433

Phone

(704) 786-7918

Fax

(704) 786-7709

NPI assigned

Feb 12, 2015

Last updated

Feb 12, 2015By 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

Other names 1

• Vanessa M Kliefot Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1720479611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252433",
            "telephone_number": "704-786-7918",
            "fax_number": "704-786-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252433",
            "telephone_number": "704-786-7918",
            "fax_number": "704-786-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "VANESSA",
        "middle_name": "M",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "KLIEFOT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Elizabeth Waller
• Melissa Waller
• Lacey Beth Walls, D.O.
• Bonnie Leanne Walsh, MSE, RD, LDN
• Charlene M Walsh, PA-C
• Kelsey Nicole Walters, LCMHCA
• Shanna M Walters, DNP-FNP-BC
• Susan M Walters, MA, CCC-SLP
• Brian Scott Walther, D.O.
• Michelle Xinyi Wang Nesdill, PHARMD

• Clinical Social Worker in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.