Cierra Shannon Wall, MSW LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013725 Issued in NC

Practice address

608 W Johnson St Ste 5
Raleigh, NC 27603-1242

Phone

(919) 986-0460

Fax

(919) 573-0438

NPI assigned

Jan 4, 2021

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)

Not 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 and National Provider Directory roles.

• Counseling Professionals PLLC

  • Multi-Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1740634773

  Clinical

  NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1811585177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 CHAPEL HILL RD STE J",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075039",
            "telephone_number": "919-986-0460",
            "fax_number": "919-573-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W JOHNSON ST STE 5",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031242",
            "telephone_number": "919-986-0460",
            "fax_number": "919-573-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "CIERRA",
        "middle_name": "SHANNON",
        "credential": "MSW LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Renee Walker
• Tania M Walker, LCSW
• Vanessa M Walker, RPH
• Sarah Piscitelli Walkowski
• Brian Keith Wall, LPC
• Emily Wall
• Jonathan Wall, PHARMD
• Leigh Wall, NP-C
• William Corey Wall, CRNA
• Amaya O. Wallace, LCSW-A, LCAS

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Jan 8, 2021; 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.