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NPI Code Detail

MEDICARE: TANEKA T WALTON LLMSW

MEDICARE: TANEKA T WALTON LLMSW
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
1104100000XSocial Worker28194MD
2104100000XSocial Worker6801093575MI

General Provider Information

NPI Number : 1548544547
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANEKA T WALTON LLMSW
Provider Business Mailing Address
First Line : 1425 UNIVERSITY BLVD E STE 245
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-4646
Country : US
Telephone Number : 240-752-2767
Fax Number : 301-326-4835
Provider Business Practice Location Address
First Line : 1425 UNIVERSITY BLVD E STE 245
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-4646
Country : US
Telephone Number : 240-752-2767
Fax Number : 301-326-4835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2011
Last Update Date : 05/04/2026

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Directions to “ TANEKA T WALTON LLMSW” Practice Location

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