Active NPI
Ronna A Whitaker, LCSW
- Clinical Social Worker
- Harrisburg, PA
National Provider Identifier
1104962521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018542
- Practice address
- 100 N Cameron St Ste 301-East
Harrisburg, PA 17101-2424 - Phone
- (717) 233-7190
- Fax
- (717) 901-5086
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW018542 | PA | Primary |
Addresses
Primary practice location
100 N Cameron St Ste 301-East
Harrisburg, PA 17101-2424
Mailing address
100 N Cameron St Ste 301-East
Harrisburg, PA 17101-2424
Phone (717) 233-7190
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW018542 | PA | MD | Clinical Social Worker |
| 6616 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1104962521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N CAMERON ST STE 301-EAST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012424",
"telephone_number": "717-233-7190",
"fax_number": "717-901-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N CAMERON ST STE 301-EAST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012424",
"telephone_number": "717-233-7190",
"fax_number": "717-901-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "RONNA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW018542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.