Active NPI
Richard Davis Walker Jr., LCSW
- Clinical Social Worker
- Lawrenceburg, TN
National Provider Identifier
1093843864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3502
- Practice address
- 1090 Old Florence Road
Lawrenceburg, TN 37454 - Phone
- (931) 762-6505
- Fax
- (931) 762-3690
- NPI assigned
- Mar 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3502 | TN | Primary |
| Clinical Social Worker | 1041C0700X | 0046C | AL |
Addresses
Primary practice location
1090 Old Florence Road
Lawrenceburg, TN 37454
Mailing address
104 White Oak Lane
Florence, AL 35633
Phone (256) 760-1164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3698406 | Medicaid | TN |
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 |
|---|---|---|---|
| 3502 | TN | MD | Professional Counselor |
| 0046C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093843864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WHITE OAK LANE",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35633",
"telephone_number": "256-760-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 OLD FLORENCE ROAD",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "37454",
"telephone_number": "931-762-6505",
"fax_number": "931-762-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "RICHARD",
"middle_name": "DAVIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "3502",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "0046C",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3698406",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.