Provider Demographics
NPI:1912748518
Name:WALKER, ONIKA ODESSA (LMSW)
Entity type:Individual
Prefix:
First Name:ONIKA
Middle Name:ODESSA
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 1:17625 N 7TH ST APT 1140
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-1929
Mailing Address - Country:US
Mailing Address - Phone:480-228-3770
Mailing Address - Fax:
Practice Address - Street 1:17625 N 7TH ST APT 1140
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-1929
Practice Address - Country:US
Practice Address - Phone:480-228-3770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-20895101YM0800X
DCLG200002886101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health