Individual provider Active NPI

Anastasia Whittaker

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1265108930
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
11725 Collier Blvd Ste C
Naples, FL 34116-6524
Phone
(239) 880-2074
NPI assigned
Aug 21, 2021
Last updated
Aug 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

11725 Collier Blvd Ste C
Naples, FL 34116-6524

Mailing address

11725 Collier Blvd Ste C
Naples, FL 34116-6524
Phone (239) 880-2074

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://urldefense.com/v3/__http://therapytreatmentteam.com__;!!IkmNjII!XpF2DjuvwUTSA437cQs5bYOL_PUo
CONNECT URL https://urldefense.com/v3/__http://therapytreatmentteam.com__;!!IkmNjII!XpF2DjuvwUTSA437cQs5bYOL_PUo

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1265108930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 COLLIER BLVD STE C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166524",
            "telephone_number": "239-880-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 COLLIER BLVD STE C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166524",
            "telephone_number": "239-880-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "ANASTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.com/v3/__http://therapytreatmentteam.com__;!!IkmNjII!XpF2DjuvwUTSA437cQs5bYOL_PUo",
            "affiliation": "N",
            "address_1": "11725 Collier Blvd Ste C",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341166524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.com/v3/__http://therapytreatmentteam.com__;!!IkmNjII!XpF2DjuvwUTSA437cQs5bYOL_PUo",
            "affiliation": "N",
            "address_1": "11725 Collier Blvd Ste C",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341166524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.