Individual provider Active NPI

Alicia M Walker, M.A.

  • Psychologist
  • Union, WV
National Provider Identifier
1891004156
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1157 Issued in WV
Practice address
200 Health Center Dr
Union, WV 24983-8442
Phone
(304) 241-1708
Fax
(304) 381-2054
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1157 WV Primary

Addresses

Primary practice location

200 Health Center Dr
Union, WV 24983-8442

Mailing address

PO Box 590
Union, WV 24983-0590
Phone (304) 623-5661

Other names 1

  • Alicia M Wood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20171103002799 WV Practitioner - Clinical Psychologist 4082970223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
East Tennessee State University Quillen College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe County Health Center Board of TrusteesGroup PAC ID 3173432671, 19 clinicians

Practice addresses (Care Compare)

PO Box
Suite 590
Union, WV 24983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Health Center Board of Trustees CurrentSince Jul 8, 2020 Accepting new patients
Monroe County Health Center Board of Trustees CurrentSince Jul 8, 2020 Accepting new patients
Monroe County Health Center Board of Trustees Past Accepting new patients

Locations

200 Health Center Dr
Union, WV 24983
Phone (304) 772-3064

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1891004156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830590",
            "telephone_number": "304-623-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CENTER DR",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249838442",
            "telephone_number": "304-241-1708",
            "fax_number": "304-381-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "WOOD",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, WV

Sources for this page

Verify at the official NPI Registry.