Active NPI
Whitney Elizabeth Ensom-Lewis
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1487091716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 88655
- Practice address
- 1690 W Shaw Ave Ste 220
Fresno, CA 93711-3519 - Phone
- (559) 908-0922
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 88655 | CA | Primary |
Addresses
Primary practice location
1690 W Shaw Ave Ste 220
Fresno, CA 93711-3519
Mailing address
1690 W Shaw Ave Ste 220
Fresno, CA 93711-3519
Phone (559) 908-0922
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88655 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- whitneyensom@tdh.allscriptsdirect.net
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": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1487091716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 W SHAW AVE STE 220",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113519",
"telephone_number": "559-908-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 W SHAW AVE STE 220",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113519",
"telephone_number": "559-908-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSOM-LEWIS",
"first_name": "WHITNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.