Individual provider Active NPI

Gail R Walker, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1730438458
Registry record updated Dec 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08981 Issued in NM
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

Updated by the provider on Dec 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12508519MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Interactionmatters, LLC Clinical CurrentSince Nov 8, 2017 Accepting new patients

Locations

102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.