Active NPI
Judith W Walker, M.ED., MSW, LCSW
- Mental Health Counselor
- Rockville, MD
National Provider Identifier
1811177173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 08128
- Practice address
- 6237 Executive Blvd
Rockville, MD 20852-3906 - Phone
- (301) 378-2737
- Fax
- (240) 383-3439
- NPI assigned
- Nov 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003836 | NC | |
| Mental Health Counselor | 101YM0800X | 08128 | MD | Primary |
Addresses
Primary practice location
6237 Executive Blvd
Rockville, MD 20852-3906
Mailing address
6237 Executive Blvd
Rockville, MD 20852-3906
Phone (301) 378-2737
Other names 1
- Ms. Judith W Formica
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003836 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1811177173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6237 EXECUTIVE BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523906",
"telephone_number": "301-378-2737",
"fax_number": "240-383-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6237 EXECUTIVE BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523906",
"telephone_number": "301-378-2737",
"fax_number": "240-383-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JUDITH",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "M.ED., MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003836",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "08128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "FORMICA",
"middle_name": "W",
"prefix": "MS.",
"credential": "M.ED., MSW, LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.