Elizabeth Walker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094957 Issued in NY

Practice address

202 Nichols Rd
Williamstown, NY 13493-2419

Phone

(716) 255-1190

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

• Ronnie Elizabeth Walker Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2023.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1225539265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NICHOLS RD",
            "city": "WILLIAMSTOWN",
            "state": "NY",
            "postal_code": "134932419",
            "telephone_number": "716-255-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NICHOLS RD",
            "city": "WILLIAMSTOWN",
            "state": "NY",
            "postal_code": "134932419",
            "telephone_number": "716-255-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094957",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "10-0999-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIE",
            "last_name": "WALKER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helen L House, LPN
• Jade Kirsten Kemp
• Claudio Alberto Lugo
• Deanna M McCrink-Shendock, M.S.
• Ashley Susan Montieth

• All providers in Williamstown, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.