Princess L Walker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851097013 Issued in MI

Practice address

375 Eureka Rd Ste B
Wyandotte, MI 48192-5839

Phone

(734) 258-8386

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: purepsychiatryofmichigan.princesswalker@153418.advancedmd-direct.com

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1477283752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 HORGER AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012679",
            "telephone_number": "734-961-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 EUREKA RD STE B",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925839",
            "telephone_number": "734-258-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PRINCESS",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851097013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishika Verma, M.D.
• Adele Locicero Vitale, OTR
• Nicole Wackerle, RRT
• Kassaye Wagaw, CRNA
• Walgreen Co
• Margaret O Wallace, CRNA
• Michael David Ward, D.O.
• Stephen Joseph Watts, MD
• Wayne Pharma
• Kimberly Ann Webb, NP

• Clinical Social Worker in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.