MEDICARE: WILLIAM BART WALKER MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	5821	TN

General Provider Information

NPI Number	:	1174737845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BART WALKER MSW

Provider Business Mailing Address
First Line	:	782 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8941
Country	:	US
Telephone Number	:	931-645-6552
Fax Number	:

Provider Business Practice Location Address
First Line	:	782 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8941
Country	:	US
Telephone Number	:	931-896-3109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	09/06/2023

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