Healthcare Provider Details

I. General information

NPI: 1831782382
Provider Name (Legal Business Name): IMANI WALKER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 EVESHAM AVE
BALTIMORE MD
21239-2636
US

IV. Provider business mailing address

2700 WASHINGTON AVE
HALETHORPE MD
21227-3115
US

V. Phone/Fax

Practice location:
  • Phone: 410-262-0611
  • Fax:
Mailing address:
  • Phone: 410-262-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number33782
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: