Active NPIIndividual provider

Beverly Walker, CASAC-T

Counselor, Addiction (Substance Use Disorder) in Jamaica, New York

NPI Number1679961239
Practice location
17515 Rockaway Blvd, Jamaica, NY 11434-5503
Fax
718-632-1568
Last updated
January 6, 2015

Beverly Walker is a Counselor, Addiction (Substance Use Disorder) based in Jamaica, NY. Beverly Walker practices in Jamaica, NY and has the professional credentials of CASAC-T. The NPI Number for Beverly Walker is 1679961239 and holds a License No. 26612 (NY). The current practice location address for Beverly Walker is 17515 Rockaway Blvd, Jamaica, NY 11434-5503 and can be reached out via phone at 718-632-3275 and via fax at 718-632-1568.

Provider Profile Details

NPI Number
1679961239
Provider Name
Beverly Walker
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Female
Address
17515 Rockaway Blvd, Jamaica, NY 11434-5503
Phone Number
718-632-3275
Fax Number
718-632-1568
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
January 6, 2015
Last Update Date
January 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
17515 Rockaway Blvd
Jamaica, NY 11434-5503
Zip
11434-5503
Phone Number
718-632-3275
Fax Number
718-632-1568
Jamaica, NY 11434Get directions →

Provider Business Mailing Address Details

Address
4442 Arthur Kill RD
Suite 4
Staten Island, NY 10309-1340
City
Staten Island
State
NY
Zip
10309-1340
Phone Number
718-356-5100
Fax Number
718-356-3155

License Information

License Number
26612
License State
NY
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Beverly Walker, CASAC-T?

The NPI number of Beverly Walker, CASAC-T is 1679961239. It was assigned on January 6, 2015 and is currently active in the NPPES registry.

What is the specialty of Beverly Walker, CASAC-T?

Beverly Walker, CASAC-T is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NY under license number 26612.

Where does Beverly Walker, CASAC-T practice?

The practice location is 17515 Rockaway Blvd, Jamaica, NY 11434-5503. The office can be reached at 718-632-3275 (phone) or 718-632-1568 (fax).

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 1679961239 directly on the NPPES registry website.

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