Individual provider Active NPI

Whittney Elise Clark

  • Addiction (Substance Use Disorder) Counselor
  • Arlington, VA
National Provider Identifier
1447924949
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710103987 Issued in VA
Practice address
1701 Clarendon Blvd Ste 115
Arlington, VA 22209-2700
Phone
(703) 498-2054
NPI assigned
Aug 6, 2021
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAAC-15603 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103987 VA Primary

Addresses

Primary practice location

1701 Clarendon Blvd Ste 115
Arlington, VA 22209-2700

Mailing address

15312 Wits End Dr
Woodbridge, VA 22193-5889
Phone (901) 573-1623

Other practice location 1

4400 Stamp Rd Ste 208B
Temple Hills, MD 20748-6728
Phone (301) 278-7956

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

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1447924949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 WITS END DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935889",
            "telephone_number": "901-573-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CLARENDON BLVD STE 115",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092700",
            "telephone_number": "703-498-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Stamp Rd Ste 208B",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207486728",
            "country_code": "US",
            "telephone_number": "301-278-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "WHITTNEY",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LAAC-15603",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.