Active NPI
Jennifer Brown Walker, LCSW
- Clinical Social Worker
- Camden, ME
National Provider Identifier
1619095072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6718
- Practice address
- 21 Elm St
Camden, ME 04843-1949 - Phone
- (207) 542-9339
- Fax
- (207) 236-0135
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | LC6718 | ME | Primary |
Addresses
Primary practice location
21 Elm St
Camden, ME 04843-1949
Mailing address
21 Elm Street
Camden, ME 04843
Phone (207) 542-9339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048242 | Other | ME | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6718 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619095072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 ELM STREET",
"city": "CAMDEN",
"state": "ME",
"postal_code": "04843",
"telephone_number": "207-542-9339",
"fax_number": "207-236-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ELM ST",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048431949",
"telephone_number": "207-542-9339",
"fax_number": "207-236-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"middle_name": "BROWN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC6718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "048242",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camden, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.