Provider Demographics
NPI:1386460871
Name:WALTER, LOUISA SLOAN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LOUISA
Middle Name:SLOAN
Last Name:WALTER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N DUKE ST STE 1
Mailing Address - Street 2:#1209
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3600 N DUKE ST STE 1
Practice Address - Street 2:#1209
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1769
Practice Address - Country:US
Practice Address - Phone:919-600-7560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0105001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical