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

Justin Patrick Walck

Individual provider Clinical Social Worker · NPI 1063858660

Justin Patrick Walck is a Clinical Social Worker in Lockport, New York. Qualified in 2013, 13 years ago. Practices with Matthew H Davis LCSW PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

405 Bewley Bldg
Lockport, NY 14094-2934
Phone: (716) 531-8433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 90 Sylvan Pkwy, Buffalo, NY 14228-1109 — (716) 531-8433

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1063858660
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2013
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address5104 Carriage Ln Ste 200, Lockport, NY 14094-9747

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Matthew H Davis Lcsw Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lockport