Individual provider Active NPI

Anne G. Walker, LCSW

  • Clinical Social Worker
  • Palatine, IL
National Provider Identifier
1043293293
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-006828 Issued in IL
Practice address
4811 Emerson Ave.
Suite 101
Palatine, IL 60067-7414
Phone
(847) 754-3933
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-006828 IL Primary

Addresses

Primary practice location

4811 Emerson Ave.
Suite 101
Palatine, IL 60067-7414

Mailing address

4811 Emerson Ave.
Suite 101
Palatine, IL 60067-7414
Phone (847) 754-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000875 IL Practitioner - Clinical Social Worker 2961427844 Practice locations: Palatine, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4811 Emerson Ave
Suite 101
Palatine, IL 60067-7416
Phone (847) 754-3933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-006828ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth M. Bolash, Psy.D., PC PastSince May 31, 2006 Accepting new patients
Harvey M. Wolf, Psy.D., CSC, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1043293293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 EMERSON AVE.",
            "address_2": "SUITE 101",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677414",
            "telephone_number": "847-754-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 EMERSON AVE.",
            "address_2": "SUITE 101",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677414",
            "telephone_number": "847-754-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANNE",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-006828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.