William Dale Whiting Sr., MA SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063160 Issued in MI

Practice address

1322 N River Rd
St Clair, MI 48079

Phone

(810) 329-4798

Fax

(810) 329-7303

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• C.W. Enterprise LLC

  • Social Worker
  • Chesterfield, MI
  • NPI 1982655544
  Medicare reassignment NPD
• Center for Counseling Tennessee

  • Clinical Social Worker
  • Chattanooga, TN
  • NPI 1306640743
  Medicare reassignment NPD
• C.W. Enterprise LLC

  • Mental Health Counselor
  • Chesterfield, MI
  • NPI 1427346170

  Clinical

  NPD
• St Clair County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Marine City, MI
  • NPI 1821133265
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1164481701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3962 WADHAMS RD",
            "city": "CHINA TWP",
            "state": "MI",
            "postal_code": "48054",
            "telephone_number": "810-329-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N RIVER RD",
            "city": "ST CLAIR",
            "state": "MI",
            "postal_code": "48079",
            "telephone_number": "810-329-4798",
            "fax_number": "810-329-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "WILLIAM",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MA SW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "743206",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbigail Elizabeth Vargo, LLMSW
• Hilary Vaughn, PHARMD
• Gabriela Marita Vega Bravo, SOCIAL WORK
• Kris Chilson Wellman, DPT
• Deidra White
• Cynthia Deborah Wilcome, LLMSW
• Sheila Marie Wolak, LMSW ACSW
• Woodward Detroit CVS, L.L.C.
• Sara R. Wutzke, R.N.

• Clinical Social Worker in St Clair, MI
• Providers in St Clair, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.