Provider Demographics
NPI:1245077437
Name:WALKER, CHRISTABELLE MCLEAN (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:CHRISTABELLE
Middle Name:MCLEAN
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:CHRISTABELLE
Other - Middle Name:
Other - Last Name:MCLEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:7419 EDGEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-3310
Mailing Address - Country:US
Mailing Address - Phone:704-989-3099
Mailing Address - Fax:
Practice Address - Street 1:7419 EDGEFIELD CT
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-3310
Practice Address - Country:US
Practice Address - Phone:704-989-3099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0202191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty