Provider Demographics
NPI:1679382295
Name:BARKER, KRISTINA WALLING (LCSW)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:WALLING
Last Name:BARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:DANYELLE
Other - Last Name:WALLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3303 FALLS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3416
Mailing Address - Country:US
Mailing Address - Phone:615-582-2721
Mailing Address - Fax:
Practice Address - Street 1:3303 FALLS CREEK DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3416
Practice Address - Country:US
Practice Address - Phone:615-582-2721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN62051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical