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

Mr. Samuel Grey Walter

Individual provider Clinical Social Worker · NPI 1730468455

Mr. Samuel Grey Walter is a Clinical Social Worker in Park City, Utah. Qualified in 2012, 14 years ago. Accepts Medicare assignment and offers telehealth.

Years since qualifying
14
In the registry since
2011

Practice location Address checks out

7766 Buckboard Dr
Park City, UT 84098-5315
Phone: (801) 879-1444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1730468455
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2011
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address7766 Buckboard Dr, Park City, UT 84098-5315

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Park City