FRED WAYNE WALKER


Address: 1150 Red John Dr, Daytona Beach, FL 32124-1016
Phone: 3862361739

FRED WAYNE WALKER (NPI# 1528042504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528042504
Entity Type Individual
Full Name FRED WAYNE WALKER
Credential LCSW
Practice Address 1150 Red John Dr
Daytona Beach
FL 32124-1016
Mailing Address 1350 Almond St
Orange City
FL 32763-3802
Practice Telephone 3862361739
Practice Fax Number 3862396675
Mailing Telephone 3867742807
Mailing Fax Number 3862396675
Enumeration Date 2005-12-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW7321 FL Behavioral Health & Social Service Providers

Other Providers FRED WALKER

NPI Name Taxonomy Address Enumeration
1285877720 Fred E Walker Jr. Internal Medicine 2601 W 49th St, Minneapolis, MN 55410-1902 2009-04-14
1962648154 Fred B. Walker Pathology 689 Woodgreen Way, Nipomo, CA 93444-9203 2008-12-18
1750993036 Fred Eugene Walker II Pharmacist 1570 11th St, Huntsville, TX 77340-3816 2020-08-19

Office Location

Street Address 1150 RED JOHN DR
City DAYTONA BEACH
State FL
Zip Code 32124-1016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396742490 Theodore Frank Matejka Nurse Practitioner 1150 Red John Dr, Daytona Beach, FL 32124-1016 2005-07-05
1104464882 Dane Huge Nurse Practitioner 1150 Red John Dr, Daytona Beach, FL 32124-1016 2019-12-13
1114049715 Linda Jean Crandall Counselor 1150 Red John Dr, Daytona Beach, FL 32124-1016 2007-04-04
1508983826 Kathleen Rogan Counselor 1150 Red John Dr, Daytona Beach, FL 32124-1016 2007-03-23
1487770137 Amy V Ballou Counselor 1150 Red John Dr, Daytona Beach, FL 32124-1016 2007-03-22
1457476863 Scott Henry March Social Worker 1150 Red John Dr, Daytona Beach, FL 32124-1016 2007-03-21
1750407110 Liza M Sampson Counselor 1150 Red John Dr, Daytona Beach, FL 32124-1016 2007-03-21
1912032483 Colleen Ritchie Counselor 1150 Red John Dr, Daytona Beach, FL 32124-1016 2007-02-23
1497734735 Leo Salter Psychologist 1150 Red John Dr, Daytona Beach, FL 32124-1016 2006-01-14
1669450466 Sma Healthcare Inc Community/Behavioral Health 1150 Red John Dr, Daytona Beach, FL 32124-1016 2006-01-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407302599 Christine Lapila Behavioral Analyst 201 Thornberg Branch Lane, Daytona Beach, FL 32124 2016-08-29
1194708495 Brent N. Fulton Family Medicine 3127 W International Speedway Blvd., Daytona Beach, FL 32124 2005-11-21
1891212130 Brian Moore Early Intervention Provider Agency 201 Thornberry Branch Ln, Daytona Beach, FL 32124 2017-08-28
1588834725 Glendoria Stephens Counselor 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 2008-03-04
1003146887 Sequel Tsi of Florida, LLC Daytona Transitional Residential Treatment Facility, Emotionally Disturbed Children 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 2009-12-30
1376874370 Sequel Tsi of Florida, LLC Daytona Residential Treatment Center Psychiatric Residential Treatment Facility 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 2010-01-15
1710531454 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 2019-07-31
1336746544 Kyle Adams Pharmacist 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 2020-10-01
1750369666 Sma Healthcare Inc Community/Behavioral Health 1150 Red John Road, Daytona Beach, FL 32124-1016 2006-01-03
1467805465 Ocean Road LLC Community/Behavioral Health 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 2016-07-14
Find all providers in zip 32124

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134736259 Bethany Tabetha Stapinski Social Worker 1530 Cornerstone Blvd Ste 100, Daytona Beach, FL 32117-7129 2020-09-24
1710492913 Timothy P Pickerrell Social Worker 133 Integra Breeze Ln Unit 104, Daytona Beach, FL 32117-5584 2017-12-11
1265978001 Marcia Williams Social Worker 249 Oak Tree Cir, Daytona Beach, FL 32114-5782 2017-01-18
1538516885 Amanda Nixon Social Worker 444 Seabreeze Blvd, Suite 730, Daytona Beach, FL 32118-3958 2016-05-17
1003288580 Trenton Friar Social Worker 337 Garden St, Daytona Beach, FL 32114 2015-10-23
1164851036 Christina Marie Kunisch Social Worker 1221 Willis Avenue, Daytona Beach, FL 32114-2810 2013-11-01
1427499847 Jennifer Ketring Social Worker 228 S Beach St, Daytona Beach, FL 32114-4404 2013-07-14
1003253402 Karen E Bradt Social Worker 340 S Beach St, Suite 101 3n, Daytona Beach, FL 32114-5079 2013-05-27
1215286323 Laura Sterling Social Worker 325 South Segrave Street, Daytona Beach, FL 32114 2012-09-05
1891003786 Charles Harmon Stewart Social Worker 702 S Ridgewood Ave, Daytona Beach, FL 32114-5332 2010-09-14
Find all providers in DAYTONA BEACH

Competitor

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City DAYTONA BEACH
Zip Code 32124

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Dataset Information

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.

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