Individual provider Active NPI

Whitney Elizabeth Werner, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1063589372
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003039 Issued in NC
Practice address
7524 Silver View LN
Raleigh, NC 27613-1071
Phone
(919) 864-0988
Fax
(919) 516-0239
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C003039 NC Primary

Addresses

Primary practice location

7524 Silver View LN
Raleigh, NC 27613-1071

Mailing address

7524 Silver View LN
Raleigh, NC 27613-1071
Phone (919) 864-0988

Other identifiers 1

IdentifierTypeStateIssuer
6002243MedicaidNC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C003039NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Psychotherapy and Wellness, PLLC Clinical CurrentSince Mar 1, 2023 Accepting new patients

Locations

6531 Creedmoor Rd
Ste 205
Raleigh, NC 27613
Phone (919) 839-0042

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1063589372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 SILVER VIEW LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131071",
            "telephone_number": "919-864-0988",
            "fax_number": "919-516-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 SILVER VIEW LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131071",
            "telephone_number": "919-864-0988",
            "fax_number": "919-516-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "WHITNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002243",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.