Active NPI
David A. Walker, LCSW
- Clinical Social Worker
- Rochester, IN
National Provider Identifier
1124354972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003211A
- Practice address
- 100 W 9TH Street
Suite 306
Rochester, IN 46975-0777 - Phone
- (574) 223-8501
- Fax
- (574) 223-5744
- NPI assigned
- Oct 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003211A | IN | Primary |
Addresses
Primary practice location
100 W 9TH Street
Suite 306
Rochester, IN 46975-0777
Mailing address
PO Box 777
Rochester, IN 46975-0777
Phone (574) 223-8501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 N Main St
Suite 304
Crown Point, IN 46307-1877
Phone (574) 546-1900
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 80.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003211A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology and Pain Management Associates PC | Clinical | Current | Accepting new patients |
| Decisions Psychological Services PC | Past | Accepting new patients |
Locations
220 W Colfax Ave
Ste 400
South Bend, IN 46601
Phone (574) 255-4976
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.
-
- Internal Medicine Physician
- Crown Point, IN
- NPI 1518900620
Clinical
-
- Psychologist
- Rochester, IN
- NPI 1801828892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1124354972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 777",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469750777",
"telephone_number": "574-223-8501",
"fax_number": "574-223-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 9TH STREET",
"address_2": "SUITE 306",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469750777",
"telephone_number": "574-223-8501",
"fax_number": "574-223-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DAVID",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003211A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.