Individual provider Active NPI

Katie Mitchell Walker, LCSW

  • Social Worker
  • North Little Rock, AR
National Provider Identifier
1922355841
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6696-C Issued in AR
Practice address
3805 McCain Park Dr Ste 117
North Little Rock, AR 72116-7813
Phone
(501) 200-1556
Fax
(501) 200-1914
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6696-C AR Primary

Addresses

Primary practice location

3805 McCain Park Dr Ste 117
North Little Rock, AR 72116-7813

Mailing address

3805 McCain Park Dr Ste 117
North Little Rock, AR 72116-7813
Phone (501) 200-1556

Other names 1

  • Katie Mitchell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6696-CARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow and Guide Kids CurrentSince Jun 27, 2021 Accepting new patients
Uhs of Benton, Inc. Past Accepting new patients
Rivendell Behavioral Health Services of Ar Past Accepting new patients

Locations

3805 McCain Park Dr
Ste 117
North Little Rock, AR 72116
Phone (501) 200-1556

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1922355841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR STE 117",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167813",
            "telephone_number": "501-200-1556",
            "fax_number": "501-200-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR STE 117",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167813",
            "telephone_number": "501-200-1556",
            "fax_number": "501-200-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATIE",
        "middle_name": "MITCHELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "6696-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MITCHELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.