Detris Whitten, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

131145 Issued in TN

Practice address

1122 College St
Memphis, TN 38106-2204

Phone

(901) 448-9883

NPI assigned

Nov 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1477378941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7579 WOODSHIRE DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386375104",
            "telephone_number": "662-288-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 COLLEGE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381062204",
            "telephone_number": "901-448-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "DETRIS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "131145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Slade MD, LLC
• Carolyn Whitney, MD
• Steven Thomas Whitney, RPH
• Marisa Whitsett
• Anne Whitten, CRNA
• Eric D Whittington, B.S.
• Lauren Whittington, M.A., CCC-SLP
• John R Whitworth, M.D.
• Whole Health Chiropractic and Wellness Center, PLLC
• Wholly Wounds, PLLC

• Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.