Active NPI
Patty K. Whaley, L.C.S.W.
- Clinical Social Worker
- Maumelle, AR
National Provider Identifier
1245488725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-291
- Practice address
- 139 Hibiscus Dr
Maumelle, AR 72113-5820 - Phone
- (501) 765-8066
- Fax
- (501) 803-3003
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-291 | AR | Primary |
Addresses
Primary practice location
139 Hibiscus Dr
Maumelle, AR 72113-5820
Mailing address
139 Hibiscus Dr
Maumelle, AR 72113-5820
Phone (501) 765-8066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-291 | AR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1245488725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 HIBISCUS DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721135820",
"telephone_number": "501-765-8066",
"fax_number": "501-803-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 HIBISCUS DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721135820",
"telephone_number": "501-765-8066",
"fax_number": "501-803-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "PATTY",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "C-291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.