Individual provider Active NPI

Wendy Sue Whitlock

  • Clinical Social Worker
  • Hollidaysburg, PA
National Provider Identifier
1447449822
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1906 N Juniata St
Hollidaysburg, PA 16648-1908
Phone
(814) 695-2984
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1906 N Juniata St
Hollidaysburg, PA 16648-1908

Mailing address

717 3Rd St
Cresson, PA 16630-1103
Phone (360) 296-6469

Other practice location 1

1906 N Juniata St
Hollidaysburg, PA 16648-1908
Phone (814) 695-2984

Other practice location 2

201 Chestnut Ave
Altoona, PA 16601-4927
Phone (814) 946-0261

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCEarlyIntervntionTherapy@upmcdirect.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soar for Life Clinical CurrentSince Sep 27, 2020 Accepting new patients

Locations

1906 N Juniata St
Hollidaysburg, PA 16648
Phone (814) 695-2984

1902 N Juniata St
Hollidaysburg, PA 16648
Phone (814) 693-6606

Interoperability endpoints

  • Direct secure messaging: upmcearlyintervntiontherapy@upmcdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1447449822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 3RD ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301103",
            "telephone_number": "360-296-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 N JUNIATA ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481908",
            "telephone_number": "814-695-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 N Juniata St",
            "address_purpose": "LOCATION",
            "city": "Hollidaysburg",
            "state": "PA",
            "postal_code": "166481908",
            "country_code": "US",
            "telephone_number": "814-695-2984",
            "fax_number": "814-695-2110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014927",
            "country_code": "US",
            "telephone_number": "814-946-0261",
            "fax_number": "814-569-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2022-02-02",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCEarlyIntervntionTherapy@upmcdirect.com",
            "affiliation": "N",
            "address_1": "201 Chestnut Ave Ste 100",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166014927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.