Angie L Walker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY0659 Issued in KY

Practice address

750 W Lincoln Trail Blvd
Suite 102
Radcliff, KY 40160-2604

Phone

(270) 351-8976

Fax

(270) 351-8980

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Astra Behavioral Health LLC

  • Psychiatry Physician
  • Elizabethtown, KY
  • NPI 1922427517
  Medicare reassignment Care Compare group NPD
• United Healthcare of Hardin, Inc

  dba Lincoln Trail Behavioral Health System

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1851500466
  Medicare reassignment NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821174566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W LINCOLN TRAIL BLVD",
            "address_2": "SUITE 102",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602604",
            "telephone_number": "270-351-8976",
            "fax_number": "270-351-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W LINCOLN TRAIL BLVD",
            "address_2": "SUITE 102",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602604",
            "telephone_number": "270-351-8976",
            "fax_number": "270-351-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANGIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY0659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82006594",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin L Vinson, RPH
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5135)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1165)
• Wal-Mart Stores East, LP (Vision Center 30-1165)
• Walgreen Co (Walgreens #11761)
• Brittanie Washington
• Roy Bernard Washington, ARNP
• Isabella Faith Watson
• Melissa Grace Webster, APRN
• Kerry A Weintraub, LCSW

• Clinical Social Worker in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.