Angela Whitlock, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4675C Issued in AL

Practice address

Irwin Army Community Hospital
650 Huebner Rd
Fort Riley, KS 66442

Phone

(785) 240-7227

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1013415462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1843",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358070843",
            "telephone_number": "256-975-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IRWIN ARMY COMMUNITY HOSPITAL",
            "address_2": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "66442",
            "telephone_number": "785-240-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4223G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4675C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALABAMA BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "4223G",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Thomas Weigel III, PA
• Vicki Lynn Welsh, RN
• Kathryn Wessel, PTA
• Lynsay R. Whelan, OTR
• Taylor Jean Whetham
• Richard H Wilkins, MD
• Heather Wilkinson, DDS
• Akeem M Williams, X-2
• Alex Williams
• Barby S Williams, FNP

• Clinical Social Worker in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.