Individual provider Active NPI

James Robert Walton, L.C.S.W.

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1396773677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S12122 Issued in TX
Practice address
3014 W 26TH Ave
Ste. 3000
Amarillo, TX 79109-3164
Phone
(806) 331-2184
Fax
(806) 331-4234
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S12122 TX Primary

Addresses

Primary practice location

3014 W 26TH Ave
Ste. 3000
Amarillo, TX 79109-3164

Mailing address

3014 W. 26 Ave.,
Ste. 3000
Amarillo, TX 79109-3164
Phone (806) 331-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20051122000574 TX Practitioner - Clinical Social Worker 5294754081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Support Services of AmarilloGroup PAC ID 8426055864, 2 clinicians

Practice addresses (Care Compare)

2209 SW 7TH Ave
Amarillo, TX 79106-6769
Phone (806) 342-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12122TXMDAddiction (Substance Use Disorder) Counselor
S12122TXMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396773677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 W. 26 AVE.,",
            "address_2": "STE. 3000",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093164",
            "telephone_number": "806-331-2184",
            "fax_number": "806-331-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 W 26TH AVE",
            "address_2": "STE. 3000",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093164",
            "telephone_number": "806-331-2184",
            "fax_number": "806-331-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S12122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.