DR. GEORGE MCGWAINE WALKER PHD LPC NCC NPI 1275899692

NPI Information

NPI: 1275899692
Provider Name: DR. GEORGE MCGWAINE WALKER, PHD, LPC, NCC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
78 MICHAEL RD APT D
NEW LONDON, CT
ZIP 06320
Phone: (561) 702-9788
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DR. George Mcgwaine Walker, PHD, LPC, NCC is an addiction (substance use disorder) counselor in New London, CT with 7 years of experience. DR. George Mcgwaine Walker, PHD, LPC, NCC NPI is 1275899692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

78 MICHAEL RD APT D
NEW LONDON, CT
ZIP 06320-453
Phone: (561) 702-9788

The NPI 1275899692 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 7/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	002095	CONNECTICUT	Yes
2	101YP2500X	Counselor	Professional	002095	CONNECTICUT	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004121141	MEDICAID	CONNECTICUT
2	201366	OTHER	CONNECTICUT	MHN
3	A412956	OTHER		OXFORD
4	4553929	OTHER	CONNECTICUT	AETNA
5	321137/A324839	OTHER	CONNECTICUT	VALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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