Individual provider Active NPI

Joella Walker, LCSW

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1922549393
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007301 Issued in GA
Practice address
321 W Hill St Ste 3C
Decatur, GA 30030-4362
Phone
(404) 694-1258
NPI assigned
Mar 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007301 GA Primary

Addresses

Primary practice location

321 W Hill St Ste 3C
Decatur, GA 30030-4362

Mailing address

1158 Mason Woods Dr NE
Atlanta, GA 30329-3804
Phone (046) 941-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 17, 2024 through Jul 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW007301GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joella Walker LLC Clinical CurrentSince Aug 1, 2024 Accepting new patients

Locations

321 W Hill St
Ste 5
Decatur, GA 30030

321 W Hill St
Ste 3C
Decatur, GA 30030
Phone (404) 694-1258

Organizations & group practices 1

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": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1922549393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 MASON WOODS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293804",
            "telephone_number": "046-941-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W HILL ST STE 3C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304362",
            "telephone_number": "404-694-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOELLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.