M'Kyla Walker, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016979 Issued in NC

Practice address

380 Copperfield Blvd NE
Concord, NC 28025-2402

Phone

(704) 403-1800

NPI assigned

Nov 29, 2018

Reactivated

Oct 28, 2021

Last updated

Sep 27, 2024By 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• The Charlotte-Mecklenburg Hospital Authority

  dba Levine Cancer Institute

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC

  Medicare reassignment NPD
• La Vida Counseling, PLLC

  • Mental Health Counselor
  • Matthews, NC
  • NPI 1679196620
  NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Behavioral Health Psychiatry & Counseling

  • Child & Adolescent Psychiatry Physician
  • Concord, NC
  • NPI 1063849420

  Clinical

  NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Pineville Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Charlotte, NC
  • NPI 1962987131
  NPD

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1770053027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N TRADE ST STE 206",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059433",
            "telephone_number": "980-202-2288",
            "fax_number": "980-280-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252402",
            "telephone_number": "704-403-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Trade St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281059433",
            "country_code": "US",
            "telephone_number": "980-202-2288",
            "fax_number": "980-280-1543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "M'KYLA",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "deactivation_date": "2021-10-19",
        "reactivation_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA VIDA COUNSELING, PLLC",
            "identifier": "82-2450083",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Walker
• Denise Mildred Lapearl Walker
• Dominique Walker, PHLEBOTOMIST
• Juliette Elise Walker, M.ED, LBA, BCBA, BS
• Lindsey Coble Walker, FNP
• Michael Walker, DDS
• Walkers Home Care
• Bonnie L Wall
• Donna W Wall, CRNA
• James Wall, MD

• 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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.