Active NPI
Tamera Whitesides, LCSW
- Clinical Social Worker
- Mission Viejo, CA
National Provider Identifier
1346041696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW25983
- Practice address
- 27758 Santa Margarita Pkwy Ste 517
Mission Viejo, CA 92691-6709 - Phone
- (949) 903-1915
- NPI assigned
- Mar 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW25983 | CA | Primary |
Addresses
Primary practice location
27758 Santa Margarita Pkwy Ste 517
Mission Viejo, CA 92691-6709
Mailing address
27758 Santa Margarita Pkwy Ste 517
Mission Viejo, CA 92691-6709
Phone (949) 903-1915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW25983 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742601600000",
"number": "1346041696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27758 SANTA MARGARITA PKWY STE 517",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916709",
"telephone_number": "949-903-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27758 SANTA MARGARITA PKWY STE 517",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916709",
"telephone_number": "949-903-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDES",
"first_name": "TAMERA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-22",
"last_updated": "2025-03-22",
"certification_date": "2025-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW25983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.