Active NPI
Whitney L Walkenhorst, LCSW, LAC
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1376959221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09924723
- Practice address
- 19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471 - Phone
- (970) 402-8294
- NPI assigned
- Jul 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000834 | CO | |
| Clinical Social Worker | 1041C0700X | CSW.09924723 | CO | Primary |
Addresses
Primary practice location
19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471
Mailing address
19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471
Phone (970) 402-8294
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 |
|---|---|---|---|
| ACD.0000834 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| CSW.09924723 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1376959221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OLD TOWN SQ STE 238",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242471",
"telephone_number": "970-402-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLD TOWN SQ STE 238",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242471",
"telephone_number": "970-402-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKENHORST",
"first_name": "WHITNEY",
"middle_name": "L",
"credential": "LCSW, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0000834",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09924723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.