Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred Wayne Walker, LCSW

Individual provider Clinical Social Worker · NPI 1528042504

Fred Wayne Walker, LCSW is a Clinical Social Worker in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1150 Red John Dr
Daytona Beach, FL 32124-1016
Phone: (386) 236-1739
Fax: (386) 239-6675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW7321 (FL)

Record details

NPI number1528042504
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1350 Almond St, Orange City, FL 32763-3802

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