Mary J Whitman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

989211 Issued in CO

Practice address

777 S Wadsworth Blvd
#1203
Lakewood, CO 80226-4300

Phone

(303) 986-6164

Fax

(720) 962-4800

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1316072648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S WADSWORTH BLVD",
            "address_2": "#1-203",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264300",
            "telephone_number": "303-986-6164",
            "fax_number": "720-962-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WADSWORTH BLVD",
            "address_2": "#1203",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264300",
            "telephone_number": "303-986-6164",
            "fax_number": "720-962-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7828 Vance Dr",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800032124",
            "country_code": "US",
            "telephone_number": "303-425-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Suzanne White, RN
• Samantha White
• Stacey Sue White, FNP-C
• Suzanne L White
• Whitian House, LLC
• Amanda Lee Whitney, RN
• Kristin Kathleen Whitney, LPC
• Peggy Faye Whitsel, LPN
• Carol Whittenburg, MPT
• Eric Whitworth, QBHA

• Clinical Social Worker in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.