MEDICARE: MCCLELLAND LYNN 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1295439396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCCLELLAND LYNN WALKER

Provider Business Mailing Address
First Line	:	1318 WOODMERE CREEK TRL
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35226-3562
Country	:	US
Telephone Number	:	706-266-7707
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 WOODMERE CREEK TRL
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35226-3562
Country	:	US
Telephone Number	:	706-266-7707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

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