Active NPIIndividual provider

Bryant W Walls, LICSW

Social Worker, School in Natick, Massachusetts

NPI Number1972078657
Practice location
22 Rutledge RD, Natick, MA 01760-1729
Fax
—
Last updated
October 9, 2018

Bryant Willis Walls is a Social Worker, School based in Natick, MA. Bryant Willis Walls practices in Natick, MA and has the professional credentials of LICSW. The NPI Number for Bryant Willis Walls is 1972078657 and holds a License No. 114169-SW-LICSW (MA). The current practice location address for Bryant Willis Walls is 22 Rutledge RD, Natick, MA 01760-1729 and can be reached out via phone at 508-647-6400.

Provider Profile Details

NPI Number
1972078657
Provider Name
Bryant Willis Walls
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
22 Rutledge RD, Natick, MA 01760-1729
Phone Number
508-647-6400
Primary Taxonomy
Social Worker, School · 1041S0200X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2018
Last Update Date
October 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Rutledge RD
Natick, MA 01760-1729
City
Natick
Zip
01760-1729
Phone Number
508-647-6400
Natick, MA 01760Get directions →

Provider Business Mailing Address Details

Address
30 Merriam Way
Upton, MA 01568-1675
City
Upton
State
MA
Zip
01568-1675
Phone Number
508-647-6400

License Information

License Number
114169-SW-LICSW
License State
MA
Taxonomy
Social Worker, School · 1041S0200X · 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 Bryant W Walls, LICSW?

The NPI number of Bryant W Walls, LICSW is 1972078657. It was assigned on October 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Bryant W Walls, LICSW?

Bryant W Walls, LICSW is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in MA under license number 114169-SW-LICSW.

Where does Bryant W Walls, LICSW practice?

The practice location is 22 Rutledge RD, Natick, MA 01760-1729. The office can be reached at 508-647-6400 (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 1972078657 directly on the NPPES registry website.

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