Provider Demographics
NPI:1912215898
Name:WALKER, DANASHIA A (LCSW, LCASA)
Entity type:Individual
Prefix:
First Name:DANASHIA
Middle Name:A
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCSW, LCASA
Other - Prefix:
Other - First Name:DANASHIA
Other - Middle Name:A
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:P-LCSW
Mailing Address - Street 1:1845 MISSION OAKS ST
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-7810
Mailing Address - Country:US
Mailing Address - Phone:704-787-0428
Mailing Address - Fax:
Practice Address - Street 1:100 BILLINGSLEY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1002
Practice Address - Country:US
Practice Address - Phone:704-376-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2561101Y00000X
NC20343101YA0400X
NCP0066691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)