Provider Demographics
NPI:1518627223
Name:WALKER, WESIONA DONYAVETTA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:WESIONA
Middle Name:DONYAVETTA
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 DOE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-4807
Mailing Address - Country:US
Mailing Address - Phone:334-695-1584
Mailing Address - Fax:
Practice Address - Street 1:6 DUNEAN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-6089
Practice Address - Country:US
Practice Address - Phone:864-467-3760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC14822LMSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical