Provider Demographics
NPI:1932442043
Name:CLARK-WALKER, TWOANA N (LMSW)
Entity type:Individual
Prefix:
First Name:TWOANA
Middle Name:N
Last Name:CLARK-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 1:11311 SYCAMORE TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-3563
Mailing Address - Country:US
Mailing Address - Phone:816-535-7583
Mailing Address - Fax:
Practice Address - Street 1:11311 SYCAMORE TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-3563
Practice Address - Country:US
Practice Address - Phone:816-535-7583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS79001041C0700X
MO20200248831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical