Active NPI
Robert Charles Walker, MSW
- Clinical Social Worker
- Waukesha, WI
National Provider Identifier
1376606475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 419-123
- Practice address
- 500 Riverview Ave
Waukesha, WI 53188-3632 - Phone
- (262) 548-7686
- Fax
- (262) 548-7656
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- 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 | 419-123 | WI | Primary |
Addresses
Primary practice location
500 Riverview Ave
Waukesha, WI 53188-3632
Mailing address
614 Cheyenne Dr
Waukesha, WI 53188-4608
Phone (262) 547-6036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39500600 | Medicaid | WI | |
| 000084286 | Other | WI | MEDICARE PART B |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 419-123 | WI | MD | Clinical Social Worker |
| 419 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1376606475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 CHEYENNE DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531884608",
"telephone_number": "262-547-6036",
"fax_number": "262-547-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RIVERVIEW AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883632",
"telephone_number": "262-548-7686",
"fax_number": "262-548-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "419-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39500600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "000084286",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.