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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW7321 | FL | Behavioral Health & Social Service Providers |
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 |
Street Address |
1150 RED JOHN DR |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32124-1016 |
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 |
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 Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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 |
City | DAYTONA BEACH |
Zip Code | 32124 |
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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.