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NPI Code Detail

MEDICARE: MRS. STEPHANIE YVETTE WALKER LCSW-C

MEDICARE: MRS. STEPHANIE YVETTE WALKER LCSW-C
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 Worker59715TX
21041C0700XClinical Social Worker13441MD

General Provider Information

NPI Number : 1689865404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE YVETTE WALKER LCSW-C
Provider Business Mailing Address
First Line : 5100 BUCKEYSTOWN PIKE STE 250
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8344
Country : US
Telephone Number : 240-215-6470
Fax Number : 301-857-8665
Provider Business Practice Location Address
First Line : 5100 BUCKEYSTOWN PIKE STE 250
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8344
Country : US
Telephone Number : 240-215-6470
Fax Number : 301-857-8665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/28/2023

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Directions to “ MRS. STEPHANIE YVETTE WALKER LCSW-C” Practice Location

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