Active NPI
Cori L Walker, LCSW
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1851808893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C8438
- Practice address
- 3427 Washington Ave
Gulfport, MS 39507-3039 - Phone
- (888) 464-1811
- Fax
- (800) 416-3070
- NPI assigned
- Dec 29, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C8438 | MS | Primary |
Addresses
Primary practice location
3427 Washington Ave
Gulfport, MS 39507-3039
Mailing address
3427 Washington Ave
Gulfport, MS 39507-3039
Phone (888) 464-1811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3427 Washington Ave
Gulfport, MS 39507-3039
Phone (888) 464-1811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Psychotherapy, PLLC | Mental Health | Current | Accepting new patients |
| Spark Counseling Center, LLC | Mental Health | Past | Accepting new patients |
Locations
1907 Pass Rd
Ste G
Biloxi, MS 39531
Phone (228) 222-2995
3427 Washington Ave
Gulfport, MS 39507
Phone (504) 300-9811
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1851808893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 WASHINGTON AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073039",
"telephone_number": "888-464-1811",
"fax_number": "800-416-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 WASHINGTON AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073039",
"telephone_number": "888-464-1811",
"fax_number": "800-416-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CORI",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C8438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.