Provider Demographics
NPI:1922462480
Name:WALKER, SYLVIA L (LCSW-A)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:L
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 WINDING RDG
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-1106
Mailing Address - Country:US
Mailing Address - Phone:919-478-4787
Mailing Address - Fax:919-487-6792
Practice Address - Street 1:4885 CLIFFDALE ROAD SUITE 202
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2834
Practice Address - Country:US
Practice Address - Phone:910-339-0400
Practice Address - Fax:910-339-0396
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0103181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical