Organization Active NPI

Whitehead & Associates

  • Clinical Social Worker
  • Montgomery, AL
National Provider Identifier
1265255210
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHITEHEAD & ASSOCIATES
Practice address
4171 Lomac St Ste F
Montgomery, AL 36106-2945
Phone
(877) 879-8692
Fax
(334) 888-8599
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Danel Whitehead, LICSWNPI 1578930830
Title
Owner
Phone
(313) 300-0567

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

4171 Lomac St Ste F
Montgomery, AL 36106-2945

Mailing address

3066 Zelda Rd PMB 234
Montgomery, AL 36106
Phone (334) 625-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250226003599 AL Part B Supplier - Clinic/Group Practice 9537689054 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, AL
O20260407001808 VA Part B Supplier - Clinic/Group Practice 9537689054 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1265255210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 ZELDA RD PMB 234",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36106",
            "telephone_number": "334-625-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 LOMAC ST STE F",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062945",
            "telephone_number": "877-879-8692",
            "fax_number": "334-888-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHEAD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "DANEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-300-0567",
        "authorized_official_credential": "LICSW"
    },
    "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 Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.