Active NPI
James Gibbons Walker, LCSW-C, ACSW
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1922180298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L2646
- Practice address
- 22 Industrial Park Dr
Ste a
Waldorf, MD 20602-2791 - Phone
- (301) 638-7543
- Fax
- (301) 638-9992
- NPI assigned
- Oct 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 | L2646 | OR | Primary |
Addresses
Primary practice location
22 Industrial Park Dr
Ste a
Waldorf, MD 20602-2791
Mailing address
10123 Senate Dr
Lanham, MD 20706-4367
Phone (301) 459-9840
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2646 | OR | MD | Clinical Psychologist |
| L2646 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1922180298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10123 SENATE DR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064367",
"telephone_number": "301-459-9840",
"fax_number": "301-459-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 INDUSTRIAL PARK DR",
"address_2": "STE A",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022791",
"telephone_number": "301-638-7543",
"fax_number": "301-638-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JAMES",
"middle_name": "GIBBONS",
"name_prefix": "Mr.",
"credential": "LCSW-C, ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L2646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.