Healthcare Provider Details

I. General information

NPI: 1386573020
Provider Name (Legal Business Name): MS. BERNICE A WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9411 PHILADELPHIA RD STE E
ROSEDALE MD
21237-4168
US

IV. Provider business mailing address

5334 KELMSCOT RD
ROSEDALE MD
21237-4000
US

V. Phone/Fax

Practice location:
  • Phone: 410-235-5620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33895
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: