Healthcare Provider Details

I. General information

NPI: 1629740543
Provider Name (Legal Business Name): ALISCHA WALKER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7075 CAMPUS DR STE 202
COLORADO SPRINGS CO
80920-6524
US

IV. Provider business mailing address

7077 SELFRIDGE ST
COLORADO SPRINGS CO
80916-5276
US

V. Phone/Fax

Practice location:
  • Phone: 719-888-6827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009926960
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: