Mark Walker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101 Issued in AK

Practice address

201 North Nordic Drive
Petersburg, AK 99833-1309

Phone

(907) 772-3332

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• Alaska Island Community Services

  • Federally Qualified Health Center (FQHC)
  • Juneau, AK
  • NPI 1750839130
  NPD (past)
• Petersburg Mental Health Services

  • Social Worker
  • Petersburg, AK
  • NPI 1922443969
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1376703025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998331309",
            "telephone_number": "907-772-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTH NORDIC DRIVE",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998331309",
            "telephone_number": "907-772-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH1413",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Petersburg Medical Center
• Mary Susan Tieden
• Mark W Tuccillo, DO
• Becky Ann Turland
• Julie Walker
• Suzanne Webb, MT
• Catherine G Wickert, RN
• Erica Worhatch, RPH.
• Chadwick Wright, MS
• Jessica Youmans

• Clinical Social Worker in Petersburg, AK
• Providers in Petersburg, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.