Provider Demographics
NPI:1497819676
Name:WALKER, HOWARD EARL (LCSW)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:EARL
Last Name:WALKER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 WHITEWING WAY
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114
Mailing Address - Country:US
Mailing Address - Phone:210-380-3538
Mailing Address - Fax:830-393-4923
Practice Address - Street 1:136 WHITEWING WAY
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114
Practice Address - Country:US
Practice Address - Phone:210-380-3538
Practice Address - Fax:830-393-4923
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX037421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040612602Medicaid
TX84674QOtherBCBS TX
TX8L14511Medicare PIN