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NPI Code Detail

MEDICARE: DIAMOND WALKER

MEDICARE: DIAMOND WALKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW025459PA

General Provider Information

NPI Number : 1154205888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAMOND WALKER
Provider Business Mailing Address
First Line : 1430 N 31ST ST APT 303
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-3957
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 515 W CHELTEN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-4414
Country : US
Telephone Number : 215-585-2539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 08/05/2025

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Directions to “ DIAMOND WALKER ” Practice Location

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