Provider Demographics
NPI:1972890358
Name:WALKER, ANDRIA (LMSW, CCS, CADC)
Entity type:Individual
Prefix:MRS
First Name:ANDRIA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:LMSW, CCS, CADC
Other - Prefix:
Other - First Name:ANDRIA
Other - Middle Name:J
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HARMON
Mailing Address - Street 1:1145 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48208-2336
Mailing Address - Country:US
Mailing Address - Phone:313-324-8900
Mailing Address - Fax:313-894-2126
Practice Address - Street 1:1145 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48208-2336
Practice Address - Country:US
Practice Address - Phone:313-324-8900
Practice Address - Fax:313-894-2126
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YA0400X
MI68011210351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)