National Provider Identifier
Justin Patrick Walck
Justin Patrick Walck is listed in the NPPES registry with a primary specialty of Social Worker in Lockport, NY and a listed phone number of (716) 531-8433.
Profile Overview
- NPI
- 1063858660
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- May 22, 2013
- Last Updated
- February 21, 2024
Practice Location
- 405 Bewley Building
- Lockport, NY 14094-2934
Phone: (716) 531-8433
Mailing Address
- 5104 Carriage Ln Ste 200
- Lockport, NY 14094-9747
Specialties
- Social Worker (104100000X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1063858660
- Entity Type
- Individual
- Last Name
- Walck
- First Name
- Justin
- Middle Name
- Patrick
- Mailing Street Address
- 5104 Carriage Ln Ste 200
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-9747
- Mailing Country
- US
- Mailing Phone
- (716) 531-8433
- Mailing Fax
- (716) 819-3430
- Practice Street Address
- 405 Bewley Building
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-2934
- Practice Country
- US
- Practice Phone
- (716) 531-8433
- Enumeration Date
- May 22, 2013
- Last Updated
- February 21, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Clinical Social Worker (1041C0700X)