Provider Demographics
NPI:1073029575
Name:WALKER, ERICKA (BSW LSW)
Entity Type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:BSW LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 CURRY FORD RD APT 66
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4245
Mailing Address - Country:US
Mailing Address - Phone:407-961-8544
Mailing Address - Fax:
Practice Address - Street 1:5920 CURRY FORD RD APT 66
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4245
Practice Address - Country:US
Practice Address - Phone:407-961-8544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
FL171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator