Active NPI
Robert Whitney, MSW, ACSW, LCSW
- Clinical Social Worker
- Mesa, AZ
National Provider Identifier
1013998293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW0946
- Practice address
- 1423 S Higley Rd
Suite 112
Mesa, AZ 85206-3429 - Phone
- (480) 654-0992
- Fax
- (480) 325-5444
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- 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 | LCSW0946 | AZ | Primary |
Addresses
Primary practice location
1423 S Higley Rd
Suite 112
Mesa, AZ 85206-3429
Mailing address
8147 E Autumn Sage TRL
Gold Canyon, AZ 85218-1993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060131000566 | AZ | Practitioner - Clinical Social Worker | 0840204780 | Practice locations: Gilbert, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2200 E Williams Field Rd
Suite 200
Gilbert, AZ 85295-0764
Phone (480) 654-0992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW0946 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013998293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8147 E AUTUMN SAGE TRL",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "852181993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 S HIGLEY RD",
"address_2": "SUITE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852063429",
"telephone_number": "480-654-0992",
"fax_number": "480-325-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "ROBERT",
"credential": "MSW, ACSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW0946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.