Provider Demographics
NPI:1689776536
Name:WALKER, WILLIAM FREDRICK (LISW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FREDRICK
Last Name:WALKER
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5342
Mailing Address - Country:US
Mailing Address - Phone:515-808-2900
Mailing Address - Fax:515-462-0504
Practice Address - Street 1:2501 GRAND AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-5342
Practice Address - Country:US
Practice Address - Phone:515-808-2900
Practice Address - Fax:515-462-0504
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker