MEDICARE: MRS. REBEKAH J. WALKER LCSW

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	1002	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0165266	OTHER	TN	BC/BS

General Provider Information

NPI Number	:	1588852453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBEKAH J. WALKER LCSW

Provider Business Mailing Address
First Line	:	PO BOX 58314
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-8314
Country	:	US
Telephone Number	:	615-352-6078
Fax Number	:	615-352-5927

Provider Business Practice Location Address
First Line	:	6454 CURRYWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-3516
Country	:	US
Telephone Number	:	615-352-6078
Fax Number	:	615-352-5927

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

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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