Provider Demographics
NPI:1124771795
Name:WALKER, ELIZABETH TOWNSEND (LCSW, EDD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:TOWNSEND
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCSW, EDD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1001 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-4101
Mailing Address - Country:US
Mailing Address - Phone:575-654-5881
Mailing Address - Fax:
Practice Address - Street 1:1001 W 6TH ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-4101
Practice Address - Country:US
Practice Address - Phone:575-654-5881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-061481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical