DR. CLARENCE WILLIAM WALKER PH.D
NPI 1053481069
Psychologist in New London, MN

Active since November 08, 2006PECOS Enrolled
17 ASH STREET, N.E, POST OFFICE BOX 92, NEW LONDON, MN 56273(320) 354-4489(320) 354-4490 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Clarence William Walker Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLARENCE WILLIAM WALKER PH.D (NPI 1053481069) is an individual psychologist in New London, Minnesota, licensed in Minnesota (LP0123) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053481069
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CLARENCE WILLIAM WALKERCredential: PH.D
Location Address17 ASH STREET, N.E, POST OFFICE BOX 92New London, MN 56273
Mailing Address128 Pine St., Nw, C. William Walker, Ph.d.New London, MN 56273 · (320) 354-4489 · Fax (320) 354-4490
Fax(320) 354-4490
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 30, 2016
NPI 1053481069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MN · LP0123 Licensed in MN · LP0321 Licensed in MN · C1083
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial WorkerTaxonomy 104100000X · License LICSW06609 (MN)
17 ASH STREET, N.E, New London, MN 56273

Other Names 1

Professional Name (2)Dr. C. William Walker Phd.

Other Identifiers 3

Medicare ID-Type Unspecified269000315
Medicaid843748300MN
Medicare PIN80000114MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Clarence William Walker Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarence Walker's NPI number?

The NPI number for Clarence Walker is 1053481069. It was assigned to this individual provider in the NPPES registry on November 8, 2006. The provider is also known as Dr. C. William Walker Phd..

Where is Clarence Walker located?

Clarence Walker practices at 17 Ash Street, N.E Post Office Box 92, New London, MN 56273. The listed phone number is (320) 354-4489.

What is Clarence Walker's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Clarence Walker enrolled in Medicare?

Yes. Clarence Walker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clarence Walker was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.