Individual provider Active NPI

Danielle Whalen, LMSW-CLINICAL

  • Clinical Social Worker
  • East Tawas, MI
National Provider Identifier
1114570322
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104898 Issued in MI
Practice address
129 Newman St
East Tawas, MI 48730-1209
Phone
(989) 310-5100
Fax
(989) 310-5101
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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 6801104898 MI Primary

Addresses

Primary practice location

129 Newman St
East Tawas, MI 48730-1209

Mailing address

886 Monument Rd
Tawas City, MI 48763-9280
Phone (757) 339-7069

Other names 1

  • Danielle Bartleson Former name

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

LicenseStateTypeSpecialty
6801104898MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whalen Counseling & Consultation CurrentSince Jul 25, 2019 Accepting new patients

Locations

129 Newman St
East Tawas, MI 48730
Phone (989) 310-5100

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1114570322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 MONUMENT RD",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639280",
            "telephone_number": "757-339-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NEWMAN ST",
            "city": "EAST TAWAS",
            "state": "MI",
            "postal_code": "487301209",
            "telephone_number": "989-310-5100",
            "fax_number": "989-310-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "DANIELLE",
        "credential": "LMSW-CLINICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BARTLESON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Tawas, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.