Active NPI
Molly Baxter Whitesides, LCSWA
- Clinical Social Worker
- Greensboro, NC
National Provider Identifier
1013690700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P019342
- Practice address
- 319 S Westgate Dr Ste D
Greensboro, NC 27407-1632 - Phone
- (866) 700-1606
- Fax
- (866) 338-5921
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P019342 | NC | Primary |
Addresses
Primary practice location
319 S Westgate Dr Ste D
Greensboro, NC 27407-1632
Mailing address
3011 Pisgah PL Apt a
Greensboro, NC 27455-3265
Phone (980) 875-8584
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
| License | State | Type | Specialty |
|---|---|---|---|
| P019342 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparc Network | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1013690700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 PISGAH PL APT A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274553265",
"telephone_number": "980-875-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S WESTGATE DR STE D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071632",
"telephone_number": "866-700-1606",
"fax_number": "866-338-5921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDES",
"first_name": "MOLLY",
"middle_name": "BAXTER",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P019342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.