Jennifer Walker, LCSW LLC
Organization Active NPI Clinical Social Worker · Mill Hall, PA
NPI 1679448971 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1679448971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- JENNIFER WALKER, LCSW LLC
- Practice address
- 7133 Nittany Valley Dr
Mill Hall, PA 17751-9013 - Phone
- (570) 295-8116
- NPI assigned
- Oct 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Jennifer Joy Glover-Walker, LCSW
- Title
- Owner
- Phone
- (570) 295-8399
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260501003031 | PA | Part B Supplier - Clinic/Group Practice | 4183192743 |
Receives reassigned benefits from 1 practitioner Practice locations: Mill Hall, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
7133 Nittany Valley Dr
Mill Hall, PA 17751-9013
Mailing address
109 W Main St
Lock Haven, PA 17745-1219
Phone (570) 295-8399
NPI Registry JSON
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1679448971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W MAIN ST",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177451219",
"telephone_number": "570-295-8399",
"fax_number": "570-295-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7133 NITTANY VALLEY DR",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177519013",
"telephone_number": "570-295-8116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER WALKER, LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "GLOVER-WALKER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-295-8399",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Hall, PA
- Maarit Huittinen Hampton
- Elijah Livingston Hanna
- Terry W Hendricks
- James P Herberg
- Nupur C Jain
- Julie M. Lunn, PLLC
- Ron Ross Kanagy
- Doreen Susan Laubscher
- Julie Marcella Lunn
- John Walton Macmillen Jr.
All providers in Mill Hall, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.