Individual provider Active NPI

Janet Kay Walk

  • Clinical Social Worker
  • Washington, MO
National Provider Identifier
1508440702
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018019791 Issued in MO
Practice address
851 E 5TH St Ste 200
Washington, MO 63090-3129
Phone
(636) 239-8585
Fax
(636) 239-8553
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2018019791 MO Primary

Addresses

Primary practice location

851 E 5TH St Ste 200
Washington, MO 63090-3129

Mailing address

851 E 5TH St Ste 200
Washington, MO 63090-3129
Phone (636) 239-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20210518001147 MO Practitioner - Clinical Social Worker 1153730445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospitals East CommunitiesGroup PAC ID 3779479019, 29 clinicians

Practice addresses (Care Compare)

851 E 5TH St
Washington, MO 63090-3129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018019791MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince May 17, 2021 Accepting new patients

Locations

851 E 5th St
Ste 200
Washington, MO 63090
Phone (636) 239-8585

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1508440702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903129",
            "telephone_number": "636-239-8585",
            "fax_number": "636-239-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903129",
            "telephone_number": "636-239-8585",
            "fax_number": "636-239-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALK",
        "first_name": "JANET",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018019791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.