Provider Demographics
NPI:1336336049
Name:WALKINGTON, BARBARA A (MSW, LMSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:WALKINGTON
Suffix:
Gender:F
Credentials:MSW, LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48805-0313
Mailing Address - Country:US
Mailing Address - Phone:517-719-0404
Mailing Address - Fax:517-337-1778
Practice Address - Street 1:1760 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6732
Practice Address - Country:US
Practice Address - Phone:517-719-0404
Practice Address - Fax:517-337-1778
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010616261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical