Individual provider Active NPI

Gary E Whitmer, LCSW

  • Clinical Social Worker
  • Pleasanton, CA
National Provider Identifier
1144247669
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 6431 Issued in CA
Practice address
2934 Victoria Meadow CT
Pleasanton, CA 94566-6317
Phone
(510) 548-0680
Fax
(800) 242-5103
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 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 LCS 6431 CA Primary

Addresses

Primary practice location

2934 Victoria Meadow CT
Pleasanton, CA 94566-6317

Mailing address

282 Pleasant Dr
Aliquippa, PA 15001-1321
Phone (925) 980-8632

Other identifiers 1

IdentifierTypeStateIssuer
94-3224873OtherCAEMPLOYER TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917002937 CA Practitioner - Clinical Social Worker 2264651595 Practice locations: Pleasanton, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2934 Victoria Meadow CT
Pleasanton, CA 94566-6317
Phone (510) 548-0680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 6431CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1144247669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 PLEASANT DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011321",
            "telephone_number": "925-980-8632",
            "fax_number": "800-242-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 VICTORIA MEADOW CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666317",
            "telephone_number": "510-548-0680",
            "fax_number": "800-242-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMER",
        "first_name": "GARY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 6431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER TAX ID",
            "identifier": "94-3224873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.