Mrs Nicole Dereese Walker, CT /CDCA is a
Counselor - Addiction (substance Use Disorder) based in Toledo, Ohio. Mrs Nicole Dereese Walker is licensed to practice in Ohio (license number CDCA-168151) and her current practice location is
2149 Collingwood. Blvd., Toledo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 243-9178.
NPI number for Mrs Nicole Dereese Walker is 1265946305 and her current mailing address is 2149 Collingwood. Blvd., Toledo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265946305.
Healthcare Provider's Profile
| Full Name | Mrs Nicole Dereese Walker |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2149 Collingwood. Blvd., Toledo, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265946305
- Provider Enumeration Date: 11/28/2017
- Last Update Date: 11/01/2019
Medical Identifiers
Medical identifiers for Mrs Nicole Dereese Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265946305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | C.1901984-TRNE (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA-168151 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Dereese Walker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Nicole Dereese Walker, CT /CDCA
2149 Collingwood. Blvd.,
Toledo, OH 43620-1562
Ph: (419) 243-9178 | Mrs Nicole Dereese Walker, CT /CDCA
2149 Collingwood. Blvd.,
Toledo, OH 43620-1562
Ph: (419) 243-9178 |
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