Provider Demographics
NPI:1851882054
Name:WALKER, JOHNNY (LCSW)
Entity type:Individual
Prefix:
First Name:JOHNNY
Middle Name:
Last Name:WALKER
Suffix:
Gender:
Credentials: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 2491
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70059-2491
Mailing Address - Country:US
Mailing Address - Phone:318-791-3924
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 2491
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70059-2491
Practice Address - Country:US
Practice Address - Phone:318-791-3924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13945104100000X, 1041C0700X, 171M00000X
TX1151311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator