Active NPI
Felicia Walker, CASE MANAGER
- Social Worker
- Daytona Beach, FL
National Provider Identifier
1780855049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 841 Jimmy Ann Drive
Halifax Behavioral Services
Daytona Beach, FL 32117-4583 - Phone
- (386) 274-6646
- Fax
- (386) 226-0653
- NPI assigned
- Mar 14, 2008
- Last updated
- Oct 29, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | FL | Primary |
Addresses
Primary practice location
841 Jimmy Ann Drive
Halifax Behavioral Services
Daytona Beach, FL 32117-4583
Mailing address
841 Jimmy Ann Drive
Halifax Behavioral Services
Daytona Beach, FL 32117-4583
Phone (386) 274-6646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768995100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1780855049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 JIMMY ANN DRIVE",
"address_2": "HALIFAX BEHAVIORAL SERVICES",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321174583",
"telephone_number": "386-274-6646",
"fax_number": "386-226-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 JIMMY ANN DRIVE",
"address_2": "HALIFAX BEHAVIORAL SERVICES",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321174583",
"telephone_number": "386-274-6646",
"fax_number": "386-226-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "FELICIA",
"credential": "CASE MANAGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768995100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.