Provider Demographics
NPI:1659471449
Name:WALKER, CHERYL LYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LYN
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:8578 HOPKINS RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9454
Mailing Address - Country:US
Mailing Address - Phone:585-762-8415
Mailing Address - Fax:
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER ATTN MARIE BAILEY
Practice Address - Street 2:6900 GEORGIA AVE NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-7341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical