Provider Demographics
NPI:1720698434
Name:WALKER, ELIZABETH GUY (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GUY
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22776 THREE NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-3368
Mailing Address - Country:US
Mailing Address - Phone:301-862-9600
Mailing Address - Fax:301-862-9606
Practice Address - Street 1:22776 THREE NOTCH RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3368
Practice Address - Country:US
Practice Address - Phone:301-862-9600
Practice Address - Fax:301-863-9606
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26114104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker