Active NPI
Amber Dawn Walker, LCSW
- Clinical Social Worker
- Bangor, ME
National Provider Identifier
1356565071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC8273
- Practice address
- 31 Central St Ste 216
Bangor, ME 04401 - Phone
- (207) 951-4601
- NPI assigned
- Apr 12, 2007
- Last updated
- Nov 6, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC8273 | ME | Primary |
Addresses
Primary practice location
31 Central St Ste 216
Bangor, ME 04401
Mailing address
31 Central St Ste 216
Bangor, ME 04401-5155
Phone (207) 951-4601
Other practice location 1
31 Central St Ste 217
Bangor, ME 04401-5146
Phone (207) 951-0063
Other practice location 2
31 Central St Ste 217
Bangor, ME 04401-5146
Phone (207) 951-0063
Other practice location 3
15 State St Ste 305
Bangor, ME 04401-5166
Phone (207) 951-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431734699 | Medicaid | ME |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1356565071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CENTRAL ST STE 216",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015155",
"telephone_number": "207-951-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 CENTRAL ST STE 216",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-951-4601"
}
],
"practiceLocations": [
{
"address_1": "31 Central St Ste 217",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044015146",
"country_code": "US",
"telephone_number": "207-951-0063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 Central St Ste 217",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044015146",
"country_code": "US",
"telephone_number": "207-951-0063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 State St Ste 305",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044015166",
"country_code": "US",
"telephone_number": "207-951-0063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "AMBER",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC8273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431734699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.