Active NPI
Lee Walker
- Clinical Social Worker
- Carnesville, GA
National Provider Identifier
1861890923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5324
- Practice address
- 33 Athens St
Carnesville, GA 30521-3669 - Phone
- (706) 340-7395
- NPI assigned
- Dec 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5324 | SC | Primary |
| Clinical Social Worker | 1041C0700X | CSW001645 | GA |
Addresses
Primary practice location
33 Athens St
Carnesville, GA 30521-3669
Mailing address
33 Athens St
Carnesville, GA 30521-3669
Phone (706) 340-7395
Other names 1
- Lee A Walker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW001645 | GA | MD | Clinical Social Worker |
| 5324 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1861890923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ATHENS ST",
"city": "CARNESVILLE",
"state": "GA",
"postal_code": "305213669",
"telephone_number": "706-340-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 ATHENS ST",
"city": "CARNESVILLE",
"state": "GA",
"postal_code": "305213669",
"telephone_number": "706-340-7395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "5324",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW001645",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEE",
"last_name": "WALKER",
"middle_name": "A",
"credential": "LISW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Carnesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.