Provider Demographics
NPI:1144480591
Name:BOOKWALTER, JOSEPH W (PLMSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:W
Last Name:BOOKWALTER
Suffix:
Gender:M
Credentials:PLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-5045
Mailing Address - Country:US
Mailing Address - Phone:501-279-0626
Mailing Address - Fax:
Practice Address - Street 1:1716 W SEARCY ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-3532
Practice Address - Country:US
Practice Address - Phone:501-362-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical