Provider Demographics
NPI:1679737415
Name:WALKER, ANNMARIE HANCOCK (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:HANCOCK
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 VIEWMONT DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5793
Mailing Address - Country:US
Mailing Address - Phone:931-802-2232
Mailing Address - Fax:
Practice Address - Street 1:901 MARTIN ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4090
Practice Address - Country:US
Practice Address - Phone:931-503-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCSW00000074531041C0700X
UT4760125-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical