MEDICARE: MS. SHARON LEE 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	34076	TX

General Provider Information

NPI Number	:	1932263761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON LEE WALKER LCSW

Provider Business Mailing Address
First Line	:	4804 WOODED ACRES DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-1721
Country	:	US
Telephone Number	:	817-446-1785
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 W MITCHELL ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2537
Country	:	US
Telephone Number	:	817-792-3385
Fax Number	:	817-275-7434

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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