Organization Active NPI

Walks With Whitney

  • Clinical Social Worker
  • Buckeye, AZ
National Provider Identifier
1225631872
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WALKS WITH WHITNEY
Practice address
4236 N Verrado Way Ste A104
Buckeye, AZ 85396-7594
Phone
(720) 310-5336
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Ms. Whitney Shevlin, LCSWNPI 1780853606
Title
Therapist/Owner
Phone
(720) 310-5336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4236 N Verrado Way Ste A104
Buckeye, AZ 85396-7594

Mailing address

4236 N Verrado Way Ste A104
Buckeye, AZ 85396-7594
Phone (720) 310-5336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129002053 AZ Part B Supplier - Clinic/Group Practice 8224442447 Receives reassigned benefits from 1 practitioner
Practice locations: Buckeye, AZ

National Provider Directory

National Provider Directory

Locations

4236 N Verrado Way
Ste A104
Buckeye, AZ 85396
Phone (720) 310-5336

4236 N Verrado Way
Buckeye, AZ 85396
Phone (720) 310-5336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1225631872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 N VERRADO WAY STE A104",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967594",
            "telephone_number": "720-310-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 N VERRADO WAY STE A104",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967594",
            "telephone_number": "720-310-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKS WITH WHITNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SHEVLIN",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "720-310-5336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.