Individual provider Active NPI

Lynnette Erin Whitney, LICSW

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1457717407
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60870624 Issued in WA
Practice address
11 N 11TH Ave Ste 108
Yakima, WA 98902-3085
Phone
(509) 941-5173
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60517752 WA
Clinical Social Worker 1041C0700X LW60870624 WA Primary

Addresses

Primary practice location

11 N 11TH Ave Ste 108
Yakima, WA 98902-3085

Mailing address

11 N 11TH Ave Ste 108
Yakima, WA 98902-3085
Phone (509) 941-5173

Other identifiers 1

IdentifierTypeStateIssuer
2083922MedicaidWA

Other names 1

  • Lynnette Erin Milhorn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190102002546 WA Practitioner - Clinical Social Worker 2961747407 Practice locations: Yakima, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 S 14TH Ave
Yakima, WA 98902-3101
Phone (509) 941-5173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60870624WAMDClinical Social Worker
SC60517752WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lynnette Whitney Licsw PLLC Clinical CurrentSince Feb 1, 2022 Accepting new patients

Locations

11 N 11th Ave
Ste 108
Yakima, WA 98902
Phone (509) 379-4381

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1457717407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N 11TH AVE STE 108",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023085",
            "telephone_number": "509-941-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N 11TH AVE STE 108",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023085",
            "telephone_number": "509-941-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "LYNNETTE",
        "middle_name": "ERIN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60517752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60870624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083922",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNETTE",
            "last_name": "MILHORN",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.