MEDICARE: ALYSSA GRACE 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	12791-123	WI

General Provider Information

NPI Number	:	1760234801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA GRACE WALKER MSW

Provider Business Mailing Address
First Line	:	718 LYNN ST
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-3427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 OAK RIDGE DR
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-6133
Country	:	US
Telephone Number	:	715-246-4840
Fax Number	:

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

Provider Enumeration Date	:	04/02/2024
Last Update Date	:	02/19/2026

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