Active NPI
Whitney Ann Paine
- Clinical Social Worker
- Monrovia, CA
National Provider Identifier
1114436102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114036
- Practice address
- 184 N Ivy Ave
Monrovia, CA 91016-2220 - Phone
- (626) 357-0957
- NPI assigned
- Sep 22, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 95660 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 114036 | CA | Primary |
Addresses
Primary practice location
184 N Ivy Ave
Monrovia, CA 91016-2220
Mailing address
1907 Boys Republic Dr
Chino Hills, CA 91709-5447
Phone (909) 628-1217
Other practice location 1
1907 Boys Republic Dr
Chino Hills, CA 91709-5447
Phone (909) 628-1217
Other practice location 2
184 N Ivy Ave
Monrovia, CA 91016-2220
Phone (626) 357-0957
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95660 | CA | MD | Mental Health Counselor |
| 114036 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1114436102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 BOYS REPUBLIC DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917095447",
"telephone_number": "909-628-1217",
"fax_number": "909-306-5427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 N IVY AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162220",
"telephone_number": "626-357-0957"
}
],
"practiceLocations": [
{
"address_1": "1907 Boys Republic Dr",
"address_purpose": "LOCATION",
"city": "Chino Hills",
"state": "CA",
"postal_code": "917095447",
"country_code": "US",
"telephone_number": "909-628-1217",
"fax_number": "909-306-5427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "184 N Ivy Ave",
"address_purpose": "LOCATION",
"city": "Monrovia",
"state": "CA",
"postal_code": "910162220",
"country_code": "US",
"telephone_number": "626-357-0957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAINE",
"first_name": "WHITNEY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "95660",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "114036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.