Marsha Whitley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092423 Issued in NY

Practice address

96 Sprucewood Cir
Geneva, NY 14456-1430

Phone

(315) 952-1084

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 10, 2024 through Oct 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1295483188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 SPRUCEWOOD CIR",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561430",
            "telephone_number": "315-952-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SPRUCEWOOD CIR",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561430",
            "telephone_number": "315-952-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "MARSHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western New York Medical Practice P.C. (WNY Finger Lakes Community Eye Care)
• Western New York Medical Practice, P.C.
• Connie L Wheeler, LMSW
• Jonalle M Wheeler, RN
• Michael David White, M.D.
• Preston A. Wigfall, M.D.
• Patricia Ann Wiggins, LPN
• Kasey Wild
• Jillian Wiley, AU.D.
• Terri Wilston-Bashnick, LMSW

• Clinical Social Worker in Geneva, NY
• Providers in Geneva, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.