Ebony Whitby, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4095C Issued in AL

Practice address

2163 Pelham Pkwy Ste 212
Pelham, AL 35124-1160

Phone

(205) 730-5500

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ebony Hawkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Serenity Therapeutic Services LLC

  • Clinical Social Worker
  • Pelham, AL
  • NPI 1538834122
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1235600289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590B PELHAM PKWY # 217",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242034",
            "telephone_number": "706-575-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 PELHAM PKWY STE 212",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241160",
            "telephone_number": "205-730-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5720 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352122522",
            "country_code": "US",
            "telephone_number": "205-380-9455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1088 9th Ave SW Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350227834",
            "country_code": "US",
            "telephone_number": "205-277-2358",
            "fax_number": "205-426-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITBY",
        "first_name": "EBONY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4095C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "HAWKINS",
            "prefix": "MISS",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcus Wells
• Karen Elaine Wesson, DOCTOR OF PHARMACY
• West Point Optical Group
• David Eugen Wever, M.D.
• Denise A Wheeler, DC
• Cory Beattie White, DMD
• Roderick White, D.C.
• Shannon White, LPC
• Stacey L White
• Mark Whitworth

• Clinical Social Worker in Pelham, AL
• Providers in Pelham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.