Provider Demographics
NPI:1780174201
Name:WALKER-JOHNSON, JESSICA (RSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:WALKER-JOHNSON
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7825 GWEN ST
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-4058
Mailing Address - Country:US
Mailing Address - Phone:504-228-3074
Mailing Address - Fax:
Practice Address - Street 1:7825 GWEN ST
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-4058
Practice Address - Country:US
Practice Address - Phone:504-228-3074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker