Individual provider Active NPI

Tanya Walker, LCSW

  • Clinical Social Worker
  • Willingboro, NJ
National Provider Identifier
1093248767
Registry record updated Apr 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05477800 Issued in NJ
Practice address
429 John F Kennedy Way
Ste. 235
Willingboro, NJ 08046-2118
Phone
(609) 871-4442
Fax
(609) 835-6569
NPI assigned
Apr 9, 2017
Last updated
Apr 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2017

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 44SC05477800 NJ Primary

Addresses

Primary practice location

429 John F Kennedy Way
Ste. 235
Willingboro, NJ 08046-2118

Mailing address

65 W Hamilton Ave
Englewood, NJ 07631-2304
Phone (201) 906-6633

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05477800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491696000000",
    "number": "1093248767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W HAMILTON AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312304",
            "telephone_number": "201-906-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 JOHN F KENNEDY WAY",
            "address_2": "STE. 235",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462118",
            "telephone_number": "609-871-4442",
            "fax_number": "609-835-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2017-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05477800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; 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.