Individual provider Active NPI

Patrice Whetsel

  • Clinical Social Worker
  • Holland, OH
National Provider Identifier
1437718079
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700583-SUPV Issued in OH
Practice address
7318 International Dr
Holland, OH 43528-9560
Phone
(419) 318-1496
Fax
(567) 249-0043
NPI assigned
Jun 7, 2019
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1700583-SUPV OH Primary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 28595-C AR

Addresses

Primary practice location

7318 International Dr
Holland, OH 43528-9560

Mailing address

433 W Madison St
Gibsonburg, OH 43431-1220
Phone (567) 207-2311

Other practice location 1

105 N 1st St
Augusta, AR 72006-2307
Phone (870) 731-1063

Other identifiers 1

IdentifierTypeStateIssuer
0002848MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20260604000559 AR Practitioner - Clinical Social Worker 3072084631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 497
Augusta, AR 72006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28595-CARMDClinical Social Worker
I.1700583-SUPVOHMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1437718079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W MADISON ST",
            "city": "GIBSONBURG",
            "state": "OH",
            "postal_code": "434311220",
            "telephone_number": "567-207-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 INTERNATIONAL DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289560",
            "telephone_number": "419-318-1496",
            "fax_number": "567-249-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "AR",
            "postal_code": "720062307",
            "country_code": "US",
            "telephone_number": "870-731-1063",
            "fax_number": "870-731-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHETSEL",
        "first_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700583-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "28595-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.