Provider Demographics
NPI:1487132296
Name:WALKER, ANNIESHA (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:ANNIESHA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 416
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-0416
Mailing Address - Country:US
Mailing Address - Phone:609-429-6596
Mailing Address - Fax:
Practice Address - Street 1:65 S MAIN ST STE B106
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2821
Practice Address - Country:US
Practice Address - Phone:609-429-6596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical