Andrea Deleo Whittaker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006676 Issued in GA

Practice address

330 Research Dr Ste 250
Athens, GA 30605-2747

Phone

(706) 224-2402

NPI assigned

Nov 21, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1205472537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BRAKEMAN CIR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305493252",
            "telephone_number": "706-224-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RESEARCH DR STE 250",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052747",
            "telephone_number": "706-224-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "ANDREA",
        "middle_name": "DELEO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "web1.zixmail.net",
            "affiliation": "N",
            "endpointDescription": "Health information is sent through email with word 'confidential' which ensures a secure connection",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "330 Research Dr Ste 250",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306052747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhonda Whitfield, CRNA
• Shannon Diane Whitfield, RN
• Frances Hooper Whitlock, PHARM.D
• Lori Whitmire, LCSW
• Christopher Michael Whitmore, PT, MPT, CERT MDT
• Tounya K Whittington, OTR, CHT
• Laura Whyte
• Oliver Craig Widenhouse, LPC
• Roy Glen Wiggans, M.D.
• Jessica Wiggs

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.