MEDICARE: SAMANTHA WALKER

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	104100000X	Social Worker	113389	NY

General Provider Information

NPI Number	:	1821638115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA WALKER

Provider Business Mailing Address
First Line	:	791 BARKER RD
Second Line	:
City	:	CAMDEN
State	:	NY
Zip	:	13316-2306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 MAIN ST
Second Line	:
City	:	CAMDEN
State	:	NY
Zip	:	13316-1302
Country	:	US
Telephone Number	:	315-533-2570
Fax Number	:

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

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	09/08/2025

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Directions to “ SAMANTHA WALKER ” Practice Location

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