TYNICIA WALTON MS, MSW, LCSW, LCAS
NPI 1205100930
Social Worker - Clinical in Fayetteville, NC

Q: What is Tynicia Walton's NPI number?

The NPI number for Tynicia Walton is 1205100930. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Q: What is Tynicia Walton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Tynicia Walton was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2012

6321 RAEFORD RD, FAYETTEVILLE, NC 28304(910) 485-6336 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2021, May 5, 2020, May 1, 2018 (3 updates tracked since 2018).

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About Tynicia Walton Ms, Msw, Lcsw, Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYNICIA WALTON MS, MSW, LCSW, LCAS (NPI 1205100930) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C010674) and active in the NPI registry since February 2012. She maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1205100930

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTYNICIA WALTONCredential: MS, MSW, LCSW, LCAS

Location Address6321 RAEFORD RDFayetteville, NC 28304-2810

Mailing AddressPo Box 1217Hope Mills, NC 28348-1217 · (910) 987-6498

Phone(910) 485-6336

Sole ProprietorNo

Enumeration DateFebruary 27, 2012

Last NPPES UpdateFebruary 3, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2021

✔ NPI 1205100930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C010674

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 21534 (NC)

6321 RAEFORD RD, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 16977 Nexus Ct Ste 102Fayetteville, NC 28304-2651 · Phone (910) 703-8402 · Fax (910) 703-8402

Other Identifiers 1

Other0870NC · License

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ZE'TONYA LE'NECE MCNAIR-MCMILLAN LCSWA

Social Worker (Clinical)