Healthcare Provider Details

I. General information

NPI: 1649183880
Provider Name (Legal Business Name): GIRAUD WALKER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7006
US

IV. Provider business mailing address

4815 GLENOAK RD
HYATTSVILLE MD
20784-1414
US

V. Phone/Fax

Practice location:
  • Phone: 202-450-5822
  • Fax:
Mailing address:
  • Phone: 240-714-7870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: