IndividualActive
Tynicia Walton, MS, MSW, LCSW, LCAS
NPI 1205100930 · Clinical Social Worker · Fayetteville, NC
Provider details
- NPI number
- 1205100930
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MS, MSW, LCSW, LCAS
- Sex
- Female
- Sole proprietor
- No
- License
- 21534 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6321 Raeford Rd
Fayetteville, NC 28304-2810
Phone: (910) 485-6336
Street-level locationGet directions
Mailing address
Po Box 1217
Hope Mills, NC 28348-1217
Additional practice locations (1)
- 6977 Nexus Ct Ste 102Fayetteville, NC 28304-2651Phone: (910) 703-8402Fax: (910) 703-8402
Registry dates
- Enumerated
- 2012-02-27
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.