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KRYSTEN WALL LMSW NPI 1699863944


NPI Information

NPI: 1699863944
Provider Name: KRYSTEN WALL, LMSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
2002 HOGBACK RD
SUITE 15
ANN ARBOR, MI
ZIP 48105
Phone: (734) 395-3433
Get Directions

Krysten Wall, LMSW is a clinical social worker in Ann Arbor, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Krysten Wall, LMSW NPI is 1699863944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2002 HOGBACK RD
SUITE 15
ANN ARBOR, MI
ZIP 48105-736
Phone: (734) 395-3433

The enumeration date for this NPI number is 10/11/2006 and was last updated on 3/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalDP00941504WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1511837MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
2WA2026161MEDICARE PINWEST VIRGINIA
37379889OTHERWEST VIRGINIAAETNA
4290040OTHERWEST VIRGINIAANTHEM BC/BS
5511887MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
63810002567MEDICAIDWEST VIRGINIA
7290040OTHERWEST VIRGINIAANTHEM BC/CS
8481428OTHERWEST VIRGINIAVALUE OPTIONS
9001733839OTHERWEST VIRGINIABC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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