Healthcare Provider Details

I. General information

NPI: 1578043071
Provider Name (Legal Business Name): RASHIDA WALKER LPC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 01/18/2021
Certification Date: 01/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 PENNSYLVANIA AVE SE
WASHINGTON DC
20003-4318
US

IV. Provider business mailing address

PO BOX 4721
UPPER MARLBORO MD
20775-0721
US

V. Phone/Fax

Practice location:
  • Phone: 202-544-5440
  • Fax:
Mailing address:
  • Phone: 301-909-4556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC8263
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC14900
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: