Active NPI
Morgan Rebecca Whittaker, LCSW
- Social Worker
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904011139
- Practice address
- 1345 Plantation Rd NE
Roanoke, VA 24012-5712 - Phone
- (833) 510-4357
- Fax
- (866) 460-2997
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0903002401 | VA | |
| Clinical Social Worker | 1041C0700X | 0904011139 | VA | |
| Social Worker | 104100000X | 0904011139 | VA | Primary |
Addresses
Primary practice location
1345 Plantation Rd NE
Roanoke, VA 24012-5712
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (833) 510-4357
Other practice location 1
3235 Electric Rd Ste 1A
Roanoke, VA 24018-6404
Phone (540) 788-5090 ext. 2162
Other practice location 2
615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457
Phone (833) 510-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0903002401 | VA | MD | Social Worker |
| 0904011139 | VA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candor Therapy Network PLLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 2
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": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1033652102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 PLANTATION RD NE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240125712",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
}
],
"practiceLocations": [
{
"address_1": "3235 Electric Rd Ste 1A",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240186404",
"country_code": "US",
"telephone_number": "540-788-5090 x2162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Elsinore Pl Ste 200",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452021457",
"country_code": "US",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTAKER",
"first_name": "MORGAN",
"middle_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0903002401",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904011139",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904011139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.