MEDICARE: MRS. LATOYA R WALKER MSW, LCSW

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	44SL06979700	NJ
2	1041C0700X	Clinical Social Worker	SW25522	FL
3	1041C0700X	Clinical Social Worker	TPIC330	FL
4	101YM0800X	Mental Health Counselor	44SL06979700	NJ
5	1041C0700X	Clinical Social Worker	44SC06545000	NJ

General Provider Information

NPI Number	:	1629756374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LATOYA R WALKER MSW, LCSW

Provider Business Mailing Address
First Line	:	3175 S JOHN YOUNG PKWY
Second Line	:	UNIT 1278
City	:	KISSIMMEE
State	:	FL
Zip	:	34746
Country	:	US
Telephone Number	:	732-330-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 N MASSACHUSETTS AVE FL 1
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-4987
Country	:	US
Telephone Number	:	732-330-5335
Fax Number	:

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

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	01/20/2026

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