Paulette L Walker, MSW, CAAC, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4662 Issued in ND

Practice address

1121 Westrac Dr S Ste 202
Fargo, ND 58103-2385

Phone

(701) 306-0542

Fax

(701) 306-0542

NPI assigned

Feb 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Catholic Social Services of Washtenaw County

  • Voluntary or Charitable Agency
  • Ann Arbor, MI
  • NPI 1679687339
  NPD (past)

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1891934873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 15TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035231",
            "telephone_number": "701-639-2421",
            "fax_number": "701-639-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WESTRAC DR S STE 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032385",
            "telephone_number": "701-306-0542",
            "fax_number": "701-306-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PAULETTE",
        "middle_name": "L",
        "credential": "MSW, CAAC, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "201903",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4662",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089731",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Jane Walker, MD
• Eva Walker
• George A Walker, MD
• Laura Ann Walker, APRN, CNP
• Leonard J Walker
• Samantha Walker, CPHT
• Tracy Kathleen Walker
• Vanessa Renise Walker, NP
• Camille Walkin
• Amanda Wallace, AAS, LPN

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.