MEDICARE: KELLY WALKER 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	LCS 23907	CA
2	1041C0700X	Clinical Social Worker	7953C	NV

General Provider Information

NPI Number	:	1922133180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY WALKER LCSW

Provider Business Mailing Address
First Line	:	3806 LORADO WAY
Second Line	:
City	:	VIEW PARK
State	:	CA
Zip	:	90043-1626
Country	:	US
Telephone Number	:	323-489-0205
Fax Number	:

Provider Business Practice Location Address
First Line	:	5665 WILSHIRE BLVD STE 1210
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3710
Country	:	US
Telephone Number	:	323-489-0205
Fax Number	:

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	05/27/2026

Similar Medicare Providers

1104754605 — NEEMABLOOM THERAPY
Practice Location Address:

5665 WILSHIRE BLVD STE 1210
LOS ANGELES, CA
90036-3710

Practice Phone: 323-489-0205
Practice Fax:

1609165265 — DR. AGLAED VERONICA MAYORGA PSYD
Practice Location Address:

5665 WILSHIRE BLVD # 1267
LOS ANGELES, CA
90036-3710

Practice Phone: 562-250-4452
Practice Fax:

1427476654 — JUSTIN ZAGHI MD
Practice Location Address:

5665 WILSHIRE BLVD # 1609
LOS ANGELES, CA
90036-3710

Practice Phone: 818-618-6255
Practice Fax:

1639699028 — JONATHAN BERNFELD DPT
Practice Location Address:

5665 WILSHIRE BLVD # 1544
LOS ANGELES, CA
90036-3710

Practice Phone: 424-335-9015
Practice Fax:

1689198764 — MR. THOMAS JOSEPH DUNLEAVY LCSW
Practice Location Address:

5665 WILSHIRE BLVD STE 1206
LOS ANGELES, CA
90036-3710

Practice Phone: 213-583-2170
Practice Fax:

1700368479 — BAHAR MOHEBAN PSYD
Practice Location Address:

5665 WILSHIRE BLVD # 1033
LOS ANGELES, CA
90036-3710

Practice Phone: 707-872-7727
Practice Fax:

Directions to “ KELLY WALKER LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.