Active NPI
Marlon Eugene Walker, LSW
- Social Worker
- Kent, OH
National Provider Identifier
1255825428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1302142
- Practice address
- 1951 State Route 59 Ste a
Kent, OH 44240-8128 - Phone
- (833) 510-4357
- NPI assigned
- Jun 20, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1302142 | OH | Primary |
Addresses
Primary practice location
1951 State Route 59 Ste a
Kent, OH 44240-8128
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1302142 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Grove LLC | Social Worker | Past | Accepting new patients |
| Wellness Grove, LLC | Social Worker | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Canton, OH
- NPI 1124865654
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1255825428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 STATE ROUTE 59 STE A",
"city": "KENT",
"state": "OH",
"postal_code": "442408128",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MARLON",
"middle_name": "EUGENE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1302142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.