Active NPIIndividual providerSole proprietor

Shevonne N Mack-Walker, LMSW

Social Worker in Woodbridge, Connecticut

NPI Number1407662943
Practice location
30 Hazel Ter Ste A, Woodbridge, CT 06525-2240
Fax
—
Last updated
December 9, 2024

Shevonne Natasha Mack-Walker is a Social Worker based in Woodbridge, CT. Shevonne Natasha Mack-Walker practices in Woodbridge, CT and has the professional credentials of LMSW. The NPI Number for Shevonne Natasha Mack-Walker is 1407662943 and holds a License No. 6307 (CT). The current practice location address for Shevonne Natasha Mack-Walker is 30 Hazel Ter Ste A, Woodbridge, CT 06525-2240 and can be reached out via phone at 203-804-3422.

Provider Profile Details

NPI Number
1407662943
Provider Name
Shevonne Natasha Mack-Walker
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
30 Hazel Ter Ste A, Woodbridge, CT 06525-2240
Phone Number
203-804-3422
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 9, 2024
Last Update Date
December 9, 2024
Certification Date
December 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Hazel Ter Ste A
Woodbridge, CT 06525-2240
Zip
06525-2240
Phone Number
203-804-3422
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
30 Hazel Ter Ste A
Woodbridge, CT 06525-2240
City
Woodbridge
State
CT
Zip
06525-2240
Phone Number
203-804-3422

License Information

License Number
6307
License State
CT
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shevonne N Mack-Walker, LMSW?

The NPI number of Shevonne N Mack-Walker, LMSW is 1407662943. It was assigned on December 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Shevonne N Mack-Walker, LMSW?

Shevonne N Mack-Walker, LMSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in CT under license number 6307.

Where does Shevonne N Mack-Walker, LMSW practice?

The practice location is 30 Hazel Ter Ste A, Woodbridge, CT 06525-2240. The office can be reached at 203-804-3422 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407662943 directly on the NPPES registry website.

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