Active NPI
Gail R Walker, LCSW
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1730438458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-08981
- Practice address
- 204 E Santa Fe Ave
Santa Fe, NM 87505-2650 - Phone
- (505) 660-8047
- NPI assigned
- Sep 10, 2012
- 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 | C-08981 | NM | Primary |
Addresses
Primary practice location
204 E Santa Fe Ave
Santa Fe, NM 87505-2650
Mailing address
204 E Santa Fe Ave
Santa Fe, NM 87505-2650
Phone (505) 660-8047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12508519 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180207000755 | NM | Practitioner - Clinical Social Worker | 6002176336 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Interactionmatters, LLC
Practice addresses (Care Compare)
102 Gold Ave SW
Suite 548
Albuquerque, NM 87102-3335
Phone (505) 660-8047
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interactionmatters, LLC | Clinical | Current | Accepting new patients |
Locations
102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047
Interoperability endpoints
- gail.walker.1@24259.direct.athenahealth.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512259200000",
"number": "1730438458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E SANTA FE AVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052650",
"telephone_number": "505-660-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E SANTA FE AVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052650",
"telephone_number": "505-660-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "GAIL",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2017-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-08981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12508519",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.