Individual provider Active NPI

Jessika Blair Walker, CM

  • Clinical Social Worker
  • Humboldt, TN
National Provider Identifier
1285904680
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9682 Issued in TN
Practice address
144 Jim Bob Scruggs Rd Ste B
Humboldt, TN 38343-6632
Phone
(731) 318-4966
NPI assigned
Jan 3, 2012
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9682 TN Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

144 Jim Bob Scruggs Rd Ste B
Humboldt, TN 38343-6632

Mailing address

1420 Osborne Street
Unit 45
Humboldt, TN 38343
Phone (731) 318-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20260324000752 TN Practitioner - Clinical Social Worker 2264916782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

257 Bancorp S Pkwy
Jackson, TN 38305

257 Bancorp S Pkwy
Jackson, TN 38305-7582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unbridled Hope Counseling, LLC Clinical Current Accepting new patients
Pathways of Tennessee, Inc. PastSince Feb 14, 2026 Accepting new patients

Locations

1420 Osborne St
Unit 45
Humboldt, TN 38343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1285904680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 OSBORNE STREET",
            "address_2": "UNIT 45",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "38343",
            "telephone_number": "731-318-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 JIM BOB SCRUGGS RD STE B",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383436632",
            "telephone_number": "731-318-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JESSIKA",
        "middle_name": "BLAIR",
        "credential": "CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9682",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.