Individual provider Active NPI

Mary Katherine Walker, LCSW

  • Clinical Social Worker
  • Groesbeck, TX
National Provider Identifier
1932078946
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109465 Issued in TX
Practice address
701 McClintic Dr
Groesbeck, TX 76642-2128
Phone
(254) 451-7889
NPI assigned
Oct 30, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 109465 TX Primary

Addresses

Primary practice location

701 McClintic Dr
Groesbeck, TX 76642-2128

Mailing address

379 LCR 139
Prairie Hill, TX 76678-1225
Phone (254) 723-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260116003393 TX Practitioner - Clinical Social Worker 0648757989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 LCR
409A
Mexia, TX 76667

701 McClintic Dr
Groesbeck, TX 76642-2128

PO Box
Suite 890
Waco, TX 76703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109465TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Region MHMR Center CurrentSince Dec 13, 2025 Accepting new patients
South Limestone Hospital District CurrentSince Feb 1, 2026 Accepting new patients
South Limestone Hospital District CurrentSince Feb 1, 2026 Accepting new patients

Locations

206 N Narcissus
#A
Kosse, TX 76653
Phone (254) 375-7001

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1932078946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 LCR 139",
            "city": "PRAIRIE HILL",
            "state": "TX",
            "postal_code": "766781225",
            "telephone_number": "254-723-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MCCLINTIC DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766422128",
            "telephone_number": "254-451-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groesbeck, TX

Sources for this page

Verify at the official NPI Registry.