JODI LYNN JO WALKER (LCSW) – Social Worker, NPI 1073017646

JODI LYNN JO WALKER (LCSW) is a healthcare provider. based in Kennett, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2023013026 (MO). The NPI Number for JODI LYNN JO WALKER (LCSW) is 1073017646

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JODI LYNN JO WALKER (LCSW)
NPI
1073017646
Phone
Not provided
Address
925 HWY VV
Enumeration Date
20 March 2018
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736861200
Graduation Year
2019 (7 years ago)
PAC ID
6901261460
Group Practice PAC ID
2163410481
Professional Enrollment ID
I20230505000902
Address ID
MO639018685PO3001XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for JODI LYNN JO WALKER (LCSW)

  • 925 HWY VV

    KENNETT, MO 63857

    Phone:

    Type: Mailing

  • 3001 WARRIOR LN

    POPLAR BLUFF, MO 639018685

    Phone: (573) 686-1200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230505000902IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63857)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163410481View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical Social WorkerAR
Mental Health CounselorMO
Nurse PractitionerMO
Clinical Social WorkerOK
Nurse PractitionerKY
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO
Clinical Social WorkerMO

Reviews

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Frequently asked questions

What is the standard ID for JODI LYNN JO WALKER (LCSW) in the U.S.?
In the U.S., JODI LYNN JO WALKER (LCSW) is identified by NPI 1073017646.
Does the public listing show JODI LYNN JO WALKER (LCSW) as active?
JODI LYNN JO WALKER (LCSW)'s NPI record reflects an active status in NPPES.
What services align with JODI LYNN JO WALKER (LCSW)'s listing?
JODI LYNN JO WALKER (LCSW)'s public classification highlights Social Worker. Clinical services aligned with this taxonomy classification.
Is JODI LYNN JO WALKER (LCSW) tied to Kennett, Missouri?
If you are local to Kennett, Missouri, JODI LYNN JO WALKER (LCSW) may be relevant to your search.
Who maintains JODI LYNN JO WALKER (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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