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TRACY WALKER
NPI 1174285332
Counselor - Addiction (Substance Use Disorder) in Providence, RI

Active since October 06, 2021
66 PAVILION AVE, PROVIDENCE, RI 02905(401) 461-9110(401) 461-9194 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Walker NPPES

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

TRACY WALKER (NPI 1174285332) is an individual addiction (substance use disorder) provider in Providence, Rhode Island and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1174285332
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACY WALKER
Location Address66 PAVILION AVEProvidence, RI 02905-1522
Mailing Address66 Pavilion AveProvidence, RI 02905-1522 · (401) 461-9110
Phone(401) 461-9110
Fax(401) 461-9194
Sole ProprietorYes
Enumeration DateOctober 6, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1174285332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
66 PAVILION AVE, Providence, RI 02905
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Other Identifiers 1

Medicaid1174521488RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ORTIZ
Counselor (Addiction (Substance Use Disorder))
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110
SHANE LIMA
Counselor (Addiction (Substance Use Disorder))
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110
THERESA SCIBILIA
Counselor (Addiction (Substance Use Disorder))
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110
JONI JONES LPN
Licensed Practical Nurse
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110
BRENDA L MELLO-SAMPAIO
Licensed Practical Nurse
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110
MS. SHERRI-ANNE FERNANDES BSW,LCDP
Counselor (Addiction (Substance Use Disorder))
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110
JENNIFER JETTE
Counselor (Addiction (Substance Use Disorder))
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110
MISS NATALIA NAVARRO
Counselor (Addiction (Substance Use Disorder))
66 PAVILION AVE
PROVIDENCE, RI 02905
Providence County (401) 461-9110

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 Tracy Walker's NPI number?

The NPI number for Tracy Walker is 1174285332. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Tracy Walker located?

Tracy Walker practices at 66 Pavilion Ave, Providence, RI 02905. The listed phone number is (401) 461-9110.

What is Tracy Walker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tracy Walker was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.