Walck Practical Therapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WALCK PRACTICAL THERAPY

Practice address

405 Bewley Building
Lockport, NY 14094-2934

Phone

(716) 531-8433

NPI assigned

Aug 2, 2023

Organization subpart

No

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

Authorized official

Name

Justin Walck, LCSW-RNPI 1063858660

Title

President

Phone

(716) 531-8433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Patrick Walck

  • Social Worker
  • Lockport, NY
  • NPI 1063858660
  NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1841972585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 CARRIAGE LN",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949747",
            "telephone_number": "716-531-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BEWLEY BUILDING",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140942934",
            "telephone_number": "716-531-8433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Sylvan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142281109",
            "country_code": "US",
            "telephone_number": "716-531-8433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALCK PRACTICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "WALCK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-531-8433",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Wager, RN
• Donnie R Waits, LPN, PDN, A.S.
• Victoria M Waits
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Justin Patrick Walck
• Walgreen Eastern Co Inc
• Madonna E Walker
• Stephanie Lynn Walker
• Kimberly Anne Walp, LPN

• Adult Mental Health Clinic/Center in Lockport, NY
• Providers in Lockport, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.