Active NPI
Jerrard Walker, LCSW CADC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1477906352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149017066
- Practice address
- 6616 S Kenwood Ave
303
Chicago, IL 60637-4454 - Phone
- (312) 285-3690
- NPI assigned
- Jul 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149017066 | IL | Primary |
Addresses
Primary practice location
6616 S Kenwood Ave
303
Chicago, IL 60637-4454
Mailing address
6616 S Kenwood Ave
303
Chicago, IL 60637-4454
Phone (312) 285-3690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1477906352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6616 S KENWOOD AVE",
"address_2": "303",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374454",
"telephone_number": "312-285-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6616 S KENWOOD AVE",
"address_2": "303",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374454",
"telephone_number": "312-285-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JERRARD",
"credential": "LCSW CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149017066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.