Mark Walker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11278 Issued in OR

Practice address

2730 Pacific Blvd SE
Albany, OR 97321-5075

Phone

(541) 967-3866

Fax

(541) 812-8807

NPI assigned

Feb 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

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.

• County of Linn

  • Community/Behavioral Health Agency
  • Albany, OR
  • NPI 1760575781
  Medicare reassignment NPD
• County of Linn

  • Medical Specialty Clinic/Center
  • Albany, OR
  • NPI 1174282172
  NPD
• County of Linn

  • Community/Behavioral Health Agency
  • Albany, OR
  • NPI 1194814103
  NPD
• Addiction Counseling and Education Services Inc.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1780712851

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1851759997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210031",
            "telephone_number": "541-967-3866",
            "fax_number": "541-812-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PACIFIC BLVD SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973215075",
            "telephone_number": "541-967-3866",
            "fax_number": "541-812-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Christopher Daniel Walker, D.M.D.
• Karyn M Walker, LPN
• Kevin Lawrence Walker, PWS
• Kolby Walker, D.O.
• Max Wallace, LCSW
• Jennifer Amy Walling
• Walmart Inc.
• Tami Marie Walters, MOT, OTR/L
• Greg L. Warburton, MS, LPC

• Clinical Social Worker in Albany, OR
• Providers in Albany, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.