Individual provider Active NPI

Todd Walker

  • Clinical Social Worker
  • Panorama City, CA
National Provider Identifier
1598163891
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81275 Issued in CA
Practice address
14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194
Phone
(818) 835-3459
NPI assigned
Dec 18, 2014
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 36553 CA
Clinical Social Worker 1041C0700X 81275 CA Primary

Addresses

Primary practice location

14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194

Mailing address

14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194
Phone (213) 807-2337

Other practice location 1

15339 Saticoy St
Van Nuys, CA 91406-3345
Phone (818) 267-2639

Other practice location 2

30700 Russell Ranch Rd Ste 250
Westlake Village, CA 91362-9507
Phone (818) 835-3459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200227000592 CA Practitioner - Clinical Social Worker 8022443449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14500 Roscoe Blvd
Suite 400
Panorama City, CA 91402-4194
Phone (818) 800-2738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36553CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Therapeutic Alliance, a Licensed Clinical Social Worker Co Clinical CurrentSince May 30, 2022 Accepting new patients

Locations

14500 Roscoe Blvd
Ste 400
Van Nuys, CA 91402
Phone (818) 741-2906

30700 Russell Ranch Rd
Ste 250
Westlake Village, CA 91362
Phone (800) 764-8981

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1598163891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD STE 400",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024194",
            "telephone_number": "213-807-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD STE 400",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024194",
            "telephone_number": "818-835-3459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15339 Saticoy St",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063345",
            "country_code": "US",
            "telephone_number": "818-267-2639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30700 Russell Ranch Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913629507",
            "country_code": "US",
            "telephone_number": "818-835-3459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TODD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-18",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "36553",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.