Active NPI
Rachel Whetten, MSW, MPH
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1043669708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C011506
- Practice address
- 3622 Lyckan Pkwy Ste 6005
Durham, NC 27707-2500 - Phone
- (919) 619-0891
- NPI assigned
- Jun 3, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PO10520 | NC | |
| Clinical Social Worker | 1041C0700X | C011506 | NC | Primary |
Addresses
Primary practice location
3622 Lyckan Pkwy Ste 6005
Durham, NC 27707-2500
Mailing address
502 W Poplar Ave Apt E3
Carrboro, NC 27510-1660
Phone (919) 619-0891
Other practice location 1
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
Other practice location 2
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
Other practice location 3
1415 W Nc Highway 54 Ste 121
Durham, NC 27707-5578
Phone (919) 401-2933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C011506 | NC | MD | Clinical Social Worker |
| PO10520 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544832000000",
"number": "1043669708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W POPLAR AVE APT E3",
"city": "CARRBORO",
"state": "NC",
"postal_code": "275101660",
"telephone_number": "919-619-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 LYCKAN PKWY STE 6005",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072500",
"telephone_number": "919-619-0891"
}
],
"practiceLocations": [
{
"address_1": "2670 Durham Chapel Hill Blvd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277072829",
"country_code": "US",
"telephone_number": "919-251-9001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2670 Durham Chapel Hill Blvd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277072829",
"country_code": "US",
"telephone_number": "919-251-9001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 W Nc Highway 54 Ste 121",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277075578",
"country_code": "US",
"telephone_number": "919-401-2933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHETTEN",
"first_name": "RACHEL",
"credential": "MSW, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2018-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "PO10520",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C011506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.