Provider Demographics
NPI:1922234046
Name:WALKER, CAROL S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:S
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 1:569 HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718-1651
Mailing Address - Country:US
Mailing Address - Phone:732-495-2350
Mailing Address - Fax:732-495-2367
Practice Address - Street 1:569 HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-1651
Practice Address - Country:US
Practice Address - Phone:732-495-2350
Practice Address - Fax:732-495-2367
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO44004001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical