Individual provider Active NPI

Robert Alan Walker, LCSW BCD

  • Social Worker
  • Lake Charles, LA
National Provider Identifier
1083616973
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
974 Issued in LA
Practice address
333 S Ryan St
220
Lake Charles, LA 70601-5951
Phone
(337) 478-9331
Fax
(337) 478-9828
NPI assigned
Aug 11, 2005
Last updated
Aug 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 974 LA Primary

Addresses

Primary practice location

333 S Ryan St
220
Lake Charles, LA 70601-5951

Mailing address

333 S. Ryan St
220
Lake Charles, LA 70601-5951
Phone (337) 478-9331

Other identifiers 1

IdentifierTypeStateIssuer
1116181MedicaidLA

Other names 1

  • Robert Alan Walker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
974LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Area Psychiatry LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1083616973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S. RYAN ST",
            "address_2": "220",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015951",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S RYAN ST",
            "address_2": "220",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015951",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCSW BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116181",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "WALKER",
            "middle_name": "ALAN",
            "credential": "LCSW BCD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.