Active NPI
Robert Alan Walker, LCSW BCD
- Social Worker
- Lake Charles, LA
National Provider Identifier
1083616973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 974
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116181 | Medicaid | LA |
Other names 1
- Robert Alan Walker
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
| License | State | Type | Specialty |
|---|---|---|---|
| 974 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Lake Area Psychiatry
- Psychiatry Physician
- Lake Charles, LA
- NPI 1164423570
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.