Provider Demographics
NPI:1588852453
Name:WALKER, REBEKAH J (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:J
Last Name:WALKER
Suffix:
Gender:F
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:PO BOX 58314
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-8314
Mailing Address - Country:US
Mailing Address - Phone:615-352-6078
Mailing Address - Fax:615-352-5927
Practice Address - Street 1:6454 CURRYWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-3516
Practice Address - Country:US
Practice Address - Phone:615-352-6078
Practice Address - Fax:615-352-5927
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0165266OtherBC/BS