Eric Whitaker, PHD, LCSW-C, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19232 Issued in MD

Practice address

10903 Indian Head Hwy Ste 404
Ft Washington, MD 20744-4019

Phone

(202) 743-5660

NPI assigned

Dec 8, 2014

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Etw Therapeutic & Holistic Services LLC

  • Adult Mental Health Clinic/Center
  • College Park, MD
  • NPI 1083336580
  NPD
• Etw Therapeutic & Holistic Services LLC

  • Rehabilitation Clinic/Center
  • College Park, MD
  • NPI 1053033126
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1225436231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 SHOCKLEY CT",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207441711",
            "telephone_number": "202-302-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY STE 404",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444019",
            "telephone_number": "202-743-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Weaver
• Jeffrey Weddington, MD
• Wellspring Homecare, LLC
• Dirrie Weston
• Carmilla Wheeler, FITNESS TRAINER
• Alaysia Nicole White
• Crystal Angela White
• Sarah White
• Tiffani White
• Katrina Ann Wilkins-Jackson, LGPC

• Clinical Social Worker in Ft Washington, MD
• Providers in Ft Washington, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.