Active NPI
Phillip N Walker, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1881708337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 7447
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW 7447 | FL | MD | Clinical Social Worker |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.