Individual provider Active NPI

Erin Natasha Moon-Walker, MSW LSW

  • Social Worker
  • West Lafayette, IN
National Provider Identifier
1881286748
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33009268A Issued in IN
Practice address
1147 Hillcrest Rd
West Lafayette, IN 47906-2211
Phone
(765) 242-9723
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33009268A IN Primary

Addresses

Primary practice location

1147 Hillcrest Rd
West Lafayette, IN 47906-2211

Mailing address

1147 Hillcrest Rd
West Lafayette, IN 47906-2211
Phone (765) 242-9723

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33009268AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1881286748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 HILLCREST RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062211",
            "telephone_number": "765-242-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 HILLCREST RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062211",
            "telephone_number": "765-242-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON-WALKER",
        "first_name": "ERIN",
        "middle_name": "NATASHA",
        "credential": "MSW LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009268A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.