Provider Demographics
NPI:1386139996
Name:WALKER, SHAMEKA ANN (BA)
Entity type:Individual
Prefix:
First Name:SHAMEKA
Middle Name:ANN
Last Name:WALKER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 E JUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44507-1933
Mailing Address - Country:US
Mailing Address - Phone:330-423-9039
Mailing Address - Fax:
Practice Address - Street 1:2940 NOBLE RD STE 101
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44121-2242
Practice Address - Country:US
Practice Address - Phone:216-795-5066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator