MEDICARE: MS. DANA 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

General Provider Information

NPI Number	:	1700776705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA WALKER MSW

Provider Business Mailing Address
First Line	:	PO BOX 165
Second Line	:
City	:	ARCADIA
State	:	MI
Zip	:	49613-0165
Country	:	US
Telephone Number	:	989-714-9993
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 RIVER ST STE 201
Second Line	:
City	:	MANISTEE
State	:	MI
Zip	:	49660-2729
Country	:	US
Telephone Number	:	989-714-9933
Fax Number	:

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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