Healthcare Provider Details

I. General information

NPI: 1649383514
Provider Name (Legal Business Name): KAREN SUE WALKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN WALKER TRANTHAM

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 JORDAN DRIVE
MONTICELLO AR
71655
US

IV. Provider business mailing address

P.O. BOX 251970
LITTLE ROCK AR
72225-1970
US

V. Phone/Fax

Practice location:
  • Phone: 870-460-0066
  • Fax: 870-460-0185
Mailing address:
  • Phone: 501-666-8686
  • Fax: 501-660-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2382-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: