DR. CLARENCE WILLIAM WALKER (NPI# 1053481069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053481069 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE WILLIAM WALKER |
| Other Name | DR. C. WILLIAM WALKER |
| Credential | PH.D |
| Practice Address |
17 Ash Street, N.e Post Office Box 92 New London MN 56273 |
| Mailing Address |
128 Pine St., Nw C. William Walker, Ph.d. New London MN 56273 |
| Practice Telephone | 3203544489 |
| Practice Fax Number | 3203544490 |
| Mailing Telephone | 3203544489 |
| Mailing Fax Number | 3203544490 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP0123 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | LP0321 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | C1083 | MN | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | LICSW06609 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 843748300 | 05 |
| Street Address |
17 ASH STREET, N.E POST OFFICE BOX 92 |
| City | NEW LONDON |
| State | MN |
| Zip Code | 56273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1538612239 | Willow Creek Counseling LLC | Social Worker | 17 Ash Street, New London, MN 56273 | 2016-07-28 |
| 1033321351 | Living Services Foundation/ New London LLC | Home Health | 102 Glen Oaks Dr, New London, MN 56273 | 2007-05-07 |
| 1144380973 | City of New London | Ambulance | 20 1st Avenue Sw, New London, MN 56273 | 2006-12-11 |
| 1932282787 | Judith Irene Pederson | Marriage & Family Therapist | 430 S Andrew Dr Ne, New London, MN 56273 | 2006-10-23 |
| 1972519213 | Amber O Vick | Family Medicine | 600 Peterson Parkway, Affiliated Community Medical Centers, New London, MN 56273 | 2006-07-31 |
| 1639263270 | David Steven Roberts | Physical Therapist | 7900 Chapin Dr Ne, Allergy, Asthma and Dermatology Clinic, New London, MN 56273 | 2006-10-03 |
| 1801342696 | Kristin Ann Schmidt | Counselor | 17 Ash Street, New London, MN 56273-0321 | 2016-08-31 |
| 1508933011 | Fischer Laser Eye Center, LLC | Optometrist | 61 Main St S, New London, MN 56273-5005 | 2006-11-29 |
| 1689293185 | Candace Jo Eck | Acupuncturist | 61 Main St S, New London, MN 56273-5005 | 2020-04-14 |
| Find all providers in zip 56273 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033384029 | Alan N West | Psychologist | 17 Prescott Ln, New London, NH 03257-5841 | 2008-04-29 |
| 1427134584 | Henry N Mcgovern | Psychologist | 1165 Pinehaven Dr, New London, NC 28127-9335 | 2006-10-31 |
| 1124114756 | Kevin J O'reilly | Psychologist | 400 Bayonet St., Suite 202, New London, CT 06320 | 2006-10-04 |
| 1558463646 | Renee H Rhodes | Psychologist | 24 Channing St, New London, CT 06320-5735 | 2006-09-01 |
| 1497812457 | Lisa Gauthier Miceli | Psychologist | 400 Bayonet St Ste 304, New London, CT 06320-2600 | 2007-01-02 |
| 1194886176 | Lynda B Smith | Psychologist | 24 Channing St, New London, CT 06320-5735 | 2006-12-13 |
| 1750451696 | Susan Elizabeth Borchert | Psychologist | 35 Newport Rd, New London, NH 03257-5413 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 56273 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.