Patricia Rose Whalen, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05363 Issued in IA

Practice address

600 4TH St
Suite 501
Sioux City, IA 51101-1750

Phone

(712) 234-0220

Fax

(712) 234-0225

NPI assigned

Dec 27, 2012

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates for Psychiatric Services PCGroup PAC ID 0941278469, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Associates for Psychiatric Services PC

  • Psychiatry Physician
  • Sioux City, IA
  • NPI 1598783490

  Clinical, IA

  Medicare reassignment Care Compare group NPD
• Ven Mental Health and TMS Clinic LLC

  • Psychiatry Physician
  • Dakota Dunes, SD
  • NPI 1467341628

  Clinical

  NPD (past)

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1295071959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "address_2": "SUITE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011750",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "address_2": "SUITE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011750",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "PATRICIA",
        "middle_name": "ROSE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "05363",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Wentz, CADC
• Diane K Werth, MD
• Elizabeth Kelly Wessling, PA-C
• Dorothy Westin-Yockey, LISW
• Taylor James Westphal, DDS
• Michael Wheatley, DDS
• Michaela Kristine Wheatley, ARNP
• Douglas Alan Wheelock, D.D.S.
• Riley Whitcomb, DPT
• Carmen Dawn White, LMSW

• All providers in Sioux City, IA
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.