Individual provider Active NPI

Catherine Whitelock, CSCAD

  • Addiction (Substance Use Disorder) Counselor
  • Salisbury, MD
National Provider Identifier
1164608782
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
SC1447 Issued in MD
Practice address
Center 4 Clean Start
1001 Lake Street
Salisbury, MD 21801
Phone
(410) 742-3460
Fax
(410) 742-5810
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SC1447 MD Primary

Addresses

Primary practice location

Center 4 Clean Start
1001 Lake Street
Salisbury, MD 21801

Mailing address

27651 Nanticoke Rd
Salisbury, MD 21801-1648
Phone (410) 677-3837

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
SC1447MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1164608782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27651 NANTICOKE RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218011648",
            "telephone_number": "410-677-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER 4 CLEAN START",
            "address_2": "1001 LAKE STREET",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-742-3460",
            "fax_number": "410-742-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELOCK",
        "first_name": "CATHERINE",
        "credential": "CSCAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "SC1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.