Individual provider Active NPI

Callie Fraser-Walker, MSS, LCSW

  • Clinical Social Worker
  • West Chester, PA
National Provider Identifier
1841917978
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022561 Issued in PA
Practice address
222 N Walnut St
West Chester, PA 19380-2607
Phone
(484) 798-5710
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 CW022561 PA Primary

Addresses

Primary practice location

222 N Walnut St
West Chester, PA 19380-2607

Mailing address

201 E Gay St Apt 342
West Chester, PA 19380-2749
Phone (484) 798-5710

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address callie@wctherapygroup.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2024 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW022561PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1841917978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GAY ST APT 342",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802749",
            "telephone_number": "484-798-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N WALNUT ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802607",
            "telephone_number": "484-798-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER-WALKER",
        "first_name": "CALLIE",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "callie@wctherapygroup.com",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "222 N Walnut St",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193802607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.