William Walker, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW004726 Issued in GA

Practice address

129 Lee Byrd Rd
Loganville, GA 30052-2310

Phone

(770) 599-7508

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creative Center for Wellness, Incorporated

  • Clinical Social Worker
  • Monroe, GA
  • NPI 1154837946
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1316647688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EAGLES PERCH RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524840",
            "telephone_number": "706-901-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LEE BYRD RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522310",
            "telephone_number": "770-599-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW004726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT HAVE MEDICAID NUMBER YET",
            "identifier": "MSW004726",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-5252)
• Wal-Mart Stores East, LP (Vision Center 30-5252)
• Walgreen Co (Walgreens #09629)
• John D Walker, CAC II
• Monica McCullers Walker
• Michael Wallace, DPT
• Mary-Theresia Kemni Wallang-Nwaha, NP-C
• Julia J Waller, LCSW
• Walton Children's Clinic
• Walton County Treatment Center LLC

• Clinical Social Worker in Loganville, GA
• Providers in Loganville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.