Active NPI
Brecka Walker
- Clinical Social Worker
- Glendale, CA
National Provider Identifier
1427474642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 74365
- Practice address
- 1400 Glenwood Rd
Apt 109
Glendale, CA 91201 - Phone
- (323) 221-4134
- NPI assigned
- Mar 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 74365 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1400 Glenwood Rd
Apt 109
Glendale, CA 91201
Mailing address
1400 Glenwood Rd
Apt 109
Glendale, CA 91201-1946
Phone (323) 221-4134
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1427474642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 GLENWOOD RD",
"address_2": "APT 109",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011946",
"telephone_number": "323-221-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GLENWOOD RD",
"address_2": "APT 109",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91201",
"telephone_number": "323-221-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "BRECKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "74365",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.