Individual provider Active NPI

Paige Katherine Walker, MSW, LSW

  • Social Worker
  • Fort Wayne, IN
National Provider Identifier
1700419744
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33009483A Issued in IN
Practice address
3010 E State Blvd
Fort Wayne, IN 46805-4700
Phone
(260) 471-2300
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33009483A IN Primary

Addresses

Primary practice location

3010 E State Blvd
Fort Wayne, IN 46805-4700

Mailing address

1824 Saint Joseph Blvd
Fort Wayne, IN 46805-3444
Phone (260) 530-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220709000897 IN Practitioner - Clinical Social Worker 8820478738 Reassigns benefits to 2 organizations
I20230106000590 OH Practitioner - Clinical Social Worker 8820478738 Reassigns benefits to 2 organizations
I20250519000804 PA Practitioner - Clinical Social Worker 8820478738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33009483AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince May 9, 2023 Accepting new patients
Extended Care Specialists, Inc CurrentSince Jun 6, 2022 Accepting new patients
Center for Neurobehavioral Services Inc CurrentSince Feb 23, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3512 Stellhorn Rd
Fort Wayne, IN 46815

3010 E State Blvd
Fort Wayne, IN 46805
Phone (260) 471-2300

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

8398 Mississippi St
Fl 2
Merrillville, IN 46410

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 3

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1700419744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 SAINT JOSEPH BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053444",
            "telephone_number": "260-530-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054700",
            "telephone_number": "260-471-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PAIGE",
        "middle_name": "KATHERINE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009483A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.