Provider Demographics
NPI:1518054659
Name:WALKER, PATRICIA B (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:B
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 NE 45TH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5199
Mailing Address - Country:US
Mailing Address - Phone:954-771-1737
Mailing Address - Fax:954-567-2177
Practice Address - Street 1:1915 NE 45TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5199
Practice Address - Country:US
Practice Address - Phone:954-771-1737
Practice Address - Fax:954-567-2177
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLSW00002401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical