Michael Theodore Walker, MSW, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2330 NE Siskiyou St
Portland, OR 97212-2471

Phone

(503) 528-0757

Fax

(503) 528-0764

NPI assigned

Nov 21, 2006

Last updated

Nov 26, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Clatsop Behavioral HealthcareGroup PAC ID 1355336454, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/

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.

• Clatsop Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Warrenton, OR
  • NPI 1013925155
  Medicare reassignment Care Compare group NPD
• Cascadia

  • Adult Companion
  • Portland, OR
  • NPI 1013055953
  NPD (past)
• Cascadia Health

  dba Cascadia Behavioral Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1043397219
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1396810875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971410343",
            "telephone_number": "503-842-4650",
            "fax_number": "800-785-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NE SISKIYOU ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122471",
            "telephone_number": "503-528-0757",
            "fax_number": "503-528-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHAEL",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "credential": "MSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elise Walker, L.C.S.W.
• Lindsay Walker, LMFTINTERN
• Lindsey Nicole Walker, PHARMD
• Lorne William Walker, M.D.
• Meredith Walker, CRM
• Miho Lucille Walker, RN
• Nicole Rachelle Walker, MSW
• Philip W Walker, MD
• Phoebe Louise Walker, MD
• Roger Dale Walker, MD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.