MRS. LEAH BRYANT WALLER (NPI# 1285882837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285882837 |
| Entity Type | Individual |
| Full Name | MRS. LEAH BRYANT WALLER |
| Credential | LCSW |
| Practice Address |
3104 Blue Lake Dr Suite 100 Birmingham AL 35243-2345 |
| Practice Telephone | 2059773003 |
| Practice Fax Number | 2059773939 |
| Mailing Telephone | 2059773003 |
| Mailing Fax Number | 2059773939 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1338C | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962873711 | Leah M Waller | Physician Assistant | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2015-10-19 |
| 1740673250 | Leah Waller | Physician Assistant | 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 | 2015-03-07 |
| Street Address |
3104 BLUE LAKE DR SUITE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881920866 | Katherine Whiteside Clark | Counselor | 3104 Blue Lake Dr, Suite 100, Birmingham, AL 35243-2345 | 2009-10-26 |
| 1225297351 | Melinda G Higginbotham | Counselor | 3104 Blue Lake Dr, Suite 100, Birmingham, AL 35243-2345 | 2008-06-04 |
| 1932393410 | Jill Siniard Kimbrough | Psychiatry & Neurology | 3104 Blue Lake Dr, Suite 100, Birmingham, AL 35243-2306 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719851 | Amanda Dotson | Social Worker | 700 19th St S # Na, Birmingham, AL 35233-1927 | 2020-10-30 |
| 1225637010 | Carla Tiara Burroughs | Social Worker | 8541 Valley Hill Dr, Birmingham, AL 35206-3539 | 2020-10-22 |
| 1023625464 | Angela S Thompson | Social Worker | 1326 Woodfall Dr, Birmingham, AL 35228-3240 | 2020-09-29 |
| 1952918674 | Jennifer Lynn Mccombs | Social Worker | 300 Century Park S Ste 201, Birmingham, AL 35226-3924 | 2020-09-27 |
| 1912516758 | Shanel Daudy | Social Worker | 912 S Old Woodward Ave # 200, Birmingham, MI 48009-6721 | 2020-07-28 |
| 1437780293 | Tiffany W Mclaurin | Social Worker | 700 19th St S # Al35233, Birmingham, AL 35233-1927 | 2020-01-30 |
| 1861043473 | Meredith Hepburn | Social Worker | 908 20th St South Rm487, Birmingham, AL 35294-2610 | 2019-09-25 |
| 1811547722 | Jamie Thompson | Social Worker | 614 38th St S, Birmingham, AL 35222-2414 | 2019-09-13 |
| 1053960674 | Michelle Warren Therapy | Social Worker | 295 Elm St Ste 1a, Birmingham, MI 48009-6344 | 2019-09-06 |
| 1780244889 | Keisha Barnes | Social Worker | 1430 Gadsden Hwy Ste 116-595, Birmingham, AL 35235-3103 | 2019-06-19 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.