Individual provider Active NPI

Julie Lynn Whitaker, LCSW

  • Clinical Social Worker
  • Murfreesboro, TN
National Provider Identifier
1013091891
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9188 Issued in TN
Practice address
1709 Cason LN Apt 1205
Murfreesboro, TN 37128-3119
Phone
(615) 424-0696
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9188 TN Primary
Occupational Therapy Assistant 224Z00000X 1267 TN

Addresses

Primary practice location

1709 Cason LN Apt 1205
Murfreesboro, TN 37128-3119

Mailing address

1709 Cason LN Apt 1205
Murfreesboro, TN 37128-3119
Phone (615) 424-0696

Other practice location 1

211 Cool Springs Blvd
Franklin, TN 37067-7242
Phone (615) 778-6835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1267TNMDGeriatric Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1013091891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 CASON LN APT 1205",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283119",
            "telephone_number": "615-424-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 CASON LN APT 1205",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283119",
            "telephone_number": "615-424-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Cool Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370677242",
            "country_code": "US",
            "telephone_number": "615-778-6835",
            "fax_number": "615-778-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9188",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.