Provider Demographics
NPI:1982610424
Name:WALKER, MARCH (ACSW,LMSW,BCD)
Entity Type:Individual
Prefix:MS
First Name:MARCH
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:ACSW,LMSW,BCD
Other - Prefix:
Other - First Name:CHIMERICAL
Other - Middle Name:
Other - Last Name:INC.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4511 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1107
Mailing Address - Country:US
Mailing Address - Phone:810-733-8500
Mailing Address - Fax:810-733-8500
Practice Address - Street 1:4511 MILLER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1107
Practice Address - Country:US
Practice Address - Phone:810-733-8500
Practice Address - Fax:810-733-8500
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010184041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI045048OtherVALUE OPTIONS
MI1013318OtherCIGNA
MI045048OtherBLUE CARE NETWORK
MI0891601OtherCONNETICUT GENERAL INS
MI045048OtherMAGELLAN
MI045048OtherVALUE OPTIONS