Jameson Hornbeck Wall, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021348 Issued in NC

Practice address

19 Zillicoa St Ste 3
Asheville, NC 28801-1063

Phone

(828) 333-4907

Fax

(828) 412-3257

NPI assigned

Oct 14, 2024

Sex

Male

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

• Jamie Wall Other name

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.

• Out of the Woods Therapeutic Counseling, PLLC

  • Multi-Specialty Clinic/Center
  • Asheville, NC
  • NPI 1649769175
  NPD

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1891515987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ZILLICOA ST STE 3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011063",
            "telephone_number": "828-333-4907",
            "fax_number": "828-412-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ZILLICOA ST STE 3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011063",
            "telephone_number": "828-333-4907",
            "fax_number": "828-412-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "JAMESON",
        "middle_name": "HORNBECK",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Walker, L.C.S.W.
• Sierra Shay Walker, LRT, CTRS
• Susan L Walker, NP
• Yvonne Walker
• Christine Marie Walkerwicz, MPT
• Anna Leese Wallace, LCMHCA
• Jennifer Brooks Wallace
• Robert Landon Wallace, DO
• Elizabeth Annette Autumn Wallen, MSW
• Peter A Wallenborn III, M.D.

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, 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 Oct 14, 2024; 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.