Active NPI
Tara Jo Walker, CISW
- Social Worker
- Neenah, WI
National Provider Identifier
1306174461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 986-122
- Practice address
- 130 2ND St
Neenah, WI 54956-2883 - Phone
- (920) 720-2150
- NPI assigned
- Dec 1, 2009
- Last updated
- Jan 31, 2011
- Sex
- Female
- 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 | 986-122 | WI | Primary |
Addresses
Primary practice location
130 2ND St
Neenah, WI 54956-2883
Mailing address
PO Box 2759
Appleton, WI 54912-2759
Phone (920) 830-5900
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 |
|---|---|---|---|
| 986-122 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1306174461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2759",
"city": "APPLETON",
"state": "WI",
"postal_code": "549122759",
"telephone_number": "920-830-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 2ND ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562883",
"telephone_number": "920-720-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TARA",
"middle_name": "JO",
"credential": "CISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "986-122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2986)
- Wal-Mart Stores East, LP (Vision Center 30-2986)
- Megan Waldhart
- Walgreen Co (Walgreens #10236)
- Walgreen Co (Walgreens #03392)
- Laura M Wallander, PHARMD
- Sandra Lee Walters, PT, MPH
- Edward Theodore Wasco, M.A.
- Kevin Edward Wasco, M.D.
- Jenna L Weber, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.