KRYSTEN WALL LMSW
NPI 1699863944
Social Worker - Clinical in Ann Arbor, MI

Active since October 11, 2006
2002 HOGBACK RD, SUITE 15, ANN ARBOR, MI 48105(734) 395-3433 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krysten Wall Lmsw NPPES

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

KRYSTEN WALL LMSW (NPI 1699863944) is an individual clinical provider in Ann Arbor, Michigan, licensed in West Virginia (DP00941504) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1699863944
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRYSTEN WALLCredential: LMSW
Location Address2002 HOGBACK RD, SUITE 15Ann Arbor, MI 48105-9736
Mailing Address2002 Hogback Rd, Suite 15Ann Arbor, MI 48105-9736 · (734) 395-3433
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateMarch 28, 2014
NPI 1699863944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WV · DP00941504
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.
2002 HOGBACK RD, Ann Arbor, MI 48105

Other Identifiers 9

Medicare OSCAR/certification511837WV
Medicare PINWA2026161WV
Other7379889WV · Aetna
Other290040WV · Anthem Bc/bs
Medicare OSCAR/certification511887WV
Medicaid3810002567WV
Other290040WV · Anthem Bc/cs
Other481428WV · Value Options
Other001733839WV · Bc/bs

Other Providers at the Same Location NPPES 17

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

Massage Therapist
2002 HOGBACK RD, SUITE 14
ANN ARBOR, MI 48105
Clinic/Center (Adult Mental Health)
2002 HOGBACK RD, #15
ANN ARBOR, MI 48105
Clinic/Center
2002 HOGBACK RD, SUITE 14
ANN ARBOR, MI 48105
Psychologist
2002 HOGBACK RD
ANN ARBOR, MI 48105
Social Worker (Clinical)
2002 HOGBACK RD, SUITE 19
ANN ARBOR, MI 48105
Social Worker (Clinical)
2002 HOGBACK RD, SUITE 15
ANN ARBOR, MI 48105
Social Worker
2002 HOGBACK RD
ANN ARBOR, MI 48105
Social Worker (Clinical)
2002 HOGBACK RD, SUITE 15
ANN ARBOR, MI 48105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krysten Wall's NPI number?

The NPI number for Krysten Wall is 1699863944. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Krysten Wall located?

Krysten Wall practices at 2002 Hogback Rd Suite 15, Ann Arbor, MI 48105. The listed phone number is (734) 395-3433.

What is Krysten Wall's specialty?

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

When was this NPI record last updated?

The NPPES record for Krysten Wall was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.