Kathleen Ann Walters, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

067538-1 Issued in NY

Practice address

7905 5TH Ave
Brooklyn, NY 11209-4001

Phone

(718) 625-4055

Fax

(718) 625-4702

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Katie Walters Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1487807996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 5TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-625-4055",
            "fax_number": "718-625-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094001",
            "telephone_number": "718-625-4055",
            "fax_number": "718-625-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "067538-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WALTERS",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Walters
• Anthony Victor Walters, RPH
• Barbara Joyce Walters, L.C.S.W.
• Brittany Rosa Lynn Walters
• Janielle Walters, MBBS
• Mary Walters, MA
• Monica Walters, RN
• Natifa Renee Walters, LMSW
• Petagay Walters
• Suzanne Walters

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.