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NPI Code Detail

MEDICARE: CAITLYN D WALTERS LCSW

MEDICARE: CAITLYN D WALTERS 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
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator
31041C0700XClinical Social Worker12927-CAR

General Provider Information

NPI Number : 1649550252
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN D WALTERS LCSW
Provider Business Mailing Address
First Line : 2400 S 48TH ST
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6683
Country : US
Telephone Number : 479-750-2020
Fax Number : 479-750-2747
Provider Business Practice Location Address
First Line : 2466 S 48TH ST
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6683
Country : US
Telephone Number : 479-750-2020
Fax Number : 479-750-2747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 01/08/2026

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Directions to “ CAITLYN D WALTERS LCSW” Practice Location

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