Kathryn Walker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12692 Issued in FL

Practice address

2836 Front St
Slidell, LA 70458-4334

Phone

(850) 418-0322

Fax

(985) 302-5400

NPI assigned

Sep 28, 2015

Last updated

Nov 17, 2016By the provider in NPPES

Sex

Female

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

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Rebirth Mental Health Services, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Slidell, LA
  • NPI 1972113124
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1346610755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704200829",
            "telephone_number": "850-418-0322",
            "fax_number": "985-302-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 FRONT ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704584334",
            "telephone_number": "850-418-0322",
            "fax_number": "985-302-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13842161",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid # 17565)
• Walgreen Co (Walgreens #15570)
• Walgreen Louisiana Co Inc (Walgreens #04290)
• Walgreen Louisiana Co Inc (Walgreens #04007)
• Walgreens Pharmacy
• Christopher Wallace
• Stephanie Wallace, FNP-BC, FNP-C
• Adrian Walton
• Brittany Ward
• Charisse Janet Ward, MD, MPH

• Clinical Social Worker in Slidell, LA
• Providers in Slidell, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.