Robert Douglas Walker, LICDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

913018 Issued in OH

Practice address

20525 Center Ridge Rd
Suite 608
Rocky River, OH 44116-3437

Phone

(440) 331-3832

Fax

(216) 671-9873

NPI assigned

Jul 27, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walker & Associates Chemical Dependency Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Rocky River, OH
  • NPI 1992232714
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1780814699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 W 114TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112734",
            "telephone_number": "216-337-6859",
            "fax_number": "216-671-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "SUITE 608",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "440-331-3832",
            "fax_number": "216-671-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "credential": "LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "913018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Suzanne Wagner, MS CCC-SLP
• Waitman Family Care, LLC (First Day Homecare #017)
• Sara Waitman
• Walgreen Co (Walgreens #05550)
• Walker & Associates Chemical Dependency Services, LLC
• Barbara Kappus Ward
• Nancy Wasserbauer Kingston, DO
• Tracy Watson, CNP
• Dana Watts, PH.D.
• Alexander Solomon Wax

• Addiction (Substance Use Disorder) Counselor in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.