NPIMap

Organization Active NPI

Deborah Dewey Walker Family Services PLLC

  • Social Worker
  • Flushing, MI
National Provider Identifier
1508557919
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
DEBORAH DEWEY WALKER FAMILY SERVICES PLLC
Doing business as
Deborah Dewey Walker Family Services PLLC
Practice address
3456 Pierson PL
Flushing, MI 48433-2474
Phone
(810) 394-4529
NPI assigned
May 17, 2023
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Rene RichardsonNPI 1851001721
Title
Clinical Mental Health Therapist
Phone
(810) 394-4529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3456 Pierson PL
Flushing, MI 48433-2474

Mailing address

3456 Pierson PL
Flushing, MI 48433-2474

Other names 1

  • DEBORAH DEWEY WALKER FAMILY SERVICES PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240719000808 MI Part B Supplier - Clinic/Group Practice 4789120312 Receives reassigned benefits from 3 practitioners
Practice locations: Flushing, MI

National Provider Directory

National Provider Directory

Locations

3456 Pierson Pl
Flushing, MI 48433
Phone (810) 394-4529

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1508557919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 PIERSON PL",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 PIERSON PL",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332474",
            "telephone_number": "810-394-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH DEWEY WALKER FAMILY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "810-394-4529"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEBORAH DEWEY WALKER FAMILY SERVICES PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEBORAH DEWEY WALKER FAMILY SERVICES PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.