Cheryl Ann Whittle, PH.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26764 Issued in CA

Practice address

4411 N Cedar Ave Ste 108
Fresno, CA 93726-2538

Phone

(559) 248-1548

NPI assigned

Jul 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Brighter Horizons Healthcare

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1972106888
  NPD (past) Authorized official

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1326526757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 N LUCERNE LN",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281713",
            "telephone_number": "559-260-9162",
            "fax_number": "559-499-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 N CEDAR AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937262538",
            "telephone_number": "559-248-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 N Campus Drive M/S Phs 102 M/S Phs 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937400001",
            "country_code": "US",
            "telephone_number": "559-278-3076",
            "fax_number": "559-499-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTLE",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-28",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CA",
            "license": "26764",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy M Whitten, L.V.N./D.S.D.
• Richard Hamilton Whitten Jr., MD
• Sharmaine Whitten, M.A.
• Natalie Nicole Whittington
• Bernice Whittle-Randolph, MD
• Carole Anne Whitty, LMFT
• Xena C Wickliffe
• Andrew Nadir Wickwire, PA-C
• Jordan Christopher Wiebe, B.A.
• Kevin Wiebe, PT, DPT

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.