Provider Demographics
NPI:1265773493
Name:WALKER, N'DORAH TARAWALLY (LICSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:N'DORAH
Middle Name:TARAWALLY
Last Name:WALKER
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 FRANKLIN ST NE
Mailing Address - Street 2:DC VAMC - CRRC
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2000
Mailing Address - Country:US
Mailing Address - Phone:202-636-7660
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW
Practice Address - Street 2:SOCIAL WORK SERVICE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-870-8655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040068561041C0700X, 1041C0700X
DCLC500778301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical