Active NPI
Bethany Walker PLLC
- Social Worker
- Longview, TX
National Provider Identifier
1871284596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- BETHANY WALKER PLLC
- Doing business as
- Empowered Family Services
- Practice address
- 414 E Loop 281 Ste 16
Longview, TX 75605-7931 - Phone
- (903) 242-8310
- Fax
- (903) 896-6224
- NPI assigned
- May 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bethany Walker, LCSW
- Title
- Director
- Phone
- (903) 242-8306
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
414 E Loop 281 Ste 16
Longview, TX 75605-7931
Mailing address
1200 Blueridge Pkwy
Longview, TX 75605-1910
Phone (430) 215-4515
Other names 1
- Empowered Family Services
National Provider Directory
National Provider DirectoryLocations
414 E Loop 281
Ste 16
Longview, TX 75605
Phone (903) 242-8310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1871284596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BLUERIDGE PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756051910",
"telephone_number": "430-215-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 E LOOP 281 STE 16",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057931",
"telephone_number": "903-242-8310",
"fax_number": "903-896-6224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY WALKER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "BETHANY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "903-242-8306",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Empowered Family Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.