Carmen C Whisler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12535 Issued in FL

Practice address

44 Weston Cir
Ponte Vedra, FL 32081-0650

Phone

(904) 339-5875

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

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.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047

  Multi-Specialty

  Medicare reassignment NPD
• Ebtide Counseling LLC

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1588139380
  Medicare reassignment NPD
• Im Sulzbacher Center for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
  • NPI 1710051354

  Multi-Specialty

  Medicare reassignment NPD
• Im Sulzbacher Center for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
  • NPI 1396369187

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1164993580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WESTON CIR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810650",
            "telephone_number": "904-339-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WESTON CIR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810650",
            "telephone_number": "904-339-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Tanglewood Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502926",
            "country_code": "US",
            "telephone_number": "904-710-8835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHISLER",
        "first_name": "CARMEN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "12535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stephan Wasilak, R.PH.
• Lee Watson, RPH
• Chloe Ways, DMD
• Weekids Psychcare
• Joyce Holmes Wells, LMT
• Whole Life Pharmacy
• Sienna Rey Wiles
• Michael C Winter, DDS
• Women'S Care Florida LLC
• Woodling Oral Surgery PLLC

• Clinical Social Worker in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.