Cassandra Breanne Walker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022210 Issued in IL

Practice address

7751 S Avalon Ave
Chicago, IL 60619-3309

Phone

(872) 356-8627

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intersections Center for Complex Healing PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1639794605
  NPD Authorized official

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1295299162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 S AVALON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193309",
            "telephone_number": "872-356-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 S AVALON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193309",
            "telephone_number": "872-356-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CASSANDRA",
        "middle_name": "BREANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103586",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aradhana Anna Larissa Walker, LCSW
• Ashley-Ann Assia Walker, MD
• Austin Walker, MD
• Benjamin Walker, LSCW
• Brian Walker
• Charte Walker
• Christopher Walker
• Danielle Lynette Walker
• Debra Walker
• Deja Walker

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.