Mr Liam Nikolas Jaxson Waller, LCSWA - Clinical Social Worker in Boone, NC

Mr Liam Nikolas Jaxson Waller, LCSWA is a Social Worker - Clinical based in Boone, North Carolina. Mr Liam Nikolas Jaxson Waller is licensed to practice in North Carolina (license number P016334) and his current practice location is 895 State Farm Rd Ste 507-5, Boone, North Carolina. He can be reached at his office (for appointments etc.) via phone at (828) 338-3136.

NPI number for Mr Liam Nikolas Jaxson Waller is 1780254136 and his current mailing address is 156 Chase Cole Ln, Zionville, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780254136.

Contact Information

Mr Liam Nikolas Jaxson Waller, LCSWA
895 State Farm Rd Ste 507-5,
Boone, NC 28607-4917
(828) 338-3136
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Liam Nikolas Jaxson Waller
GenderMale
SpecialitySocial Worker - Clinical
Location895 State Farm Rd Ste 507-5, Boone, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780254136
  • Provider Enumeration Date: 06/28/2021
  • Last Update Date: 06/28/2021

Medical Identifiers

Medical identifiers for Mr Liam Nikolas Jaxson Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780254136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P016334 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Liam Nikolas Jaxson Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Liam Nikolas Jaxson Waller, LCSWA
156 Chase Cole Ln,
Zionville, NC 28698-6002

Ph: (336) 981-6723
Mr Liam Nikolas Jaxson Waller, LCSWA
895 State Farm Rd Ste 507-5,
Boone, NC 28607-4917

Ph: (828) 338-3136

Reviews and Comments


Social Worker in Boone, NC

Mrs. Jennifer Marie Smith, LCSW-A
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Phone: 828-333-4170    Fax: 855-404-4030
Mrs. Veronica Lee Timbers, LCSW
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Mrs. Amanda George Coker, LCSW
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Phone: 828-264-8759    
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Medicare: Not Enrolled in Medicare
Practice Location: 8076 Nc Highway 105 S, Boone, NC 28607
Phone: 828-963-9377    
Kaley Madison Coltrain,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 132 Poplar Grove Connector Ste B, Boone, NC 28607
Phone: 828-264-8759    
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Medicare: Medicare Enrolled
Practice Location: 719 Greenway Rd Ste 105, Boone, NC 28607
Phone: 305-321-1159    Fax: 844-314-9910
Ms. Jammie M. Starr, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 895 State Farm Rd Unit 505, Boone, NC 28607
Phone: 828-268-7225    Fax: 828-268-7201

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.