Jeffrey Walker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7169-C Issued in AR

Practice address

405 N 2ND St
Cabot, AR 72023-2539

Phone

(501) 843-3503

Fax

(501) 843-3503

NPI assigned

Sep 23, 2014

Last updated

Jun 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Counseling Associates IncGroup PAC ID 0941103477, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Counseling Associates Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1437164977
  Medicare reassignment Care Compare group NPD
• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cabot, AR
  • NPI 1154944809
  NPD
• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lonoke, AR
  • NPI 1356965990
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1164824934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172954",
            "telephone_number": "501-221-1843",
            "fax_number": "501-221-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N 2ND ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232539",
            "telephone_number": "501-843-3503",
            "fax_number": "501-843-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7169-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7169-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Wren Wade, LMSW
• Wal-Mart Stores, Inc. (Vision Center 30-2587)
• Walgreen Co (Walgreens #10059)
• Walk in Faith, PLLC (Cabot Health & Wellness)
• Walker Therapy Clinic, Inc
• Jeffrey Grant Walker, OTR.L
• Lindie M Walker, PT
• Tanya Leigh Walker, APRN
• David Wallies
• Walmart Inc. (Walmart Pharmacy 10-2587)

• Clinical Social Worker in Cabot, AR
• Providers in Cabot, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.

Verify at the official NPI Registry.