Provider Demographics
NPI:1659794626
Name:WALKER, O'NEIL ORAIN (LCSWA)
Entity Type:Individual
Prefix:MR
First Name:O'NEIL
Middle Name:ORAIN
Last Name:WALKER
Suffix:
Gender:M
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 CRESCENT RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28138-7515
Mailing Address - Country:US
Mailing Address - Phone:704-279-5556
Mailing Address - Fax:704-255-1801
Practice Address - Street 1:417 N MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4376
Practice Address - Country:US
Practice Address - Phone:704-636-5522
Practice Address - Fax:704-636-5533
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPOO83501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical