Individual provider Active NPI

Phillip N Walker, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1881708337
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 7447 Issued in FL
Practice address
3251 3Rd Ave N
St Petersburg, FL 33713
Phone
(727) 321-3854
Fax
(727) 327-7670
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 7447 FL Primary

Addresses

Primary practice location

3251 3Rd Ave N
St Petersburg, FL 33713

Mailing address

3251 3Rd Ave N
St Petersburg, FL 33713-8506
Phone (727) 321-3854

Other practice location 1

1315 E 7th Ave
Tampa, FL 33605-3605
Phone (813) 232-3808

Other practice location 2

2126 1st Ave S
Saint Petersburg, FL 33712-1204
Phone (813) 817-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040909001220 FL Practitioner - Clinical Social Worker 5092781047 Practice locations: St Petersburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5401 22ND Ave N
St Petersburg, FL 33710-5124
Phone (813) 817-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 7447FLMDClinical Social Worker

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: phillip.walker@metrotampabay.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1881708337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138506",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 E 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336053605",
            "country_code": "US",
            "telephone_number": "813-232-3808",
            "fax_number": "813-234-3075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2126 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337121204",
            "country_code": "US",
            "telephone_number": "813-817-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PHILLIP",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.