MEDICARE: SAMANTHA WALKER LADC-S

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	171M00000X	Case Manager/Care Coordinator
2	172V00000X	Community Health Worker
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	30610	MN

General Provider Information

NPI Number	:	1437635356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA WALKER LADC-S

Provider Business Mailing Address
First Line	:	1845 OLD HUDSON RD APT 102
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55119-4319
Country	:	US
Telephone Number	:	612-459-3845
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 HAZEL ST N
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55119-4506
Country	:	US
Telephone Number	:	763-339-7506
Fax Number	:

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

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	12/12/2023

Similar Medicare Providers

1710505821 — RRECOVERY SERVICES
Practice Location Address:

1340 HAZEL ST N
SAINT PAUL, MN
55119-4506

Practice Phone: 763-339-7506
Practice Fax:

1073392676 — CUMI WELLNESS
Practice Location Address:

1340 HAZEL ST N
SAINT PAUL, MN
55119-4506

Practice Phone: 763-607-8544
Practice Fax:

1821454026 — BEAU SORRELL MSW, LICSW
Practice Location Address:

762 TRANSFER RD
SAINT PAUL, MN
55114-4506

Practice Phone: 651-900-2275
Practice Fax:

1568933273 — MRS. MICHELLE CHRISTINA MATTISON LMSW, LICSW
Practice Location Address:

762 TRANSFER RD
SAINT PAUL, MN
55114-4506

Practice Phone: 517-281-8436
Practice Fax:

1447892211 — KIMBERLY MARETTE MS, LPCC
Practice Location Address:

762 TRANSFER RD STE 116
SAINT PAUL, MN
55114-4506

Practice Phone: 651-659-2900
Practice Fax:

1588291975 — JESSICA HAGEN MA, LMFT
Practice Location Address:

762 TRANSFER RD
SAINT PAUL, MN
55114-4506

Practice Phone: 651-728-0992
Practice Fax: 651-645-7307

Directions to “ SAMANTHA WALKER LADC-S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.