Camillia Whitehead, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20395 Issued in MD

Practice address

320 E Towsontown Blvd
Suite 2W
Towson, MD 21286-5318

Phone

(410) 296-2004

Fax

(410) 296-2004

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1497296909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E TOWSONTOWN BLVD",
            "address_2": "SUITE 2W",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865318",
            "telephone_number": "410-296-2004",
            "fax_number": "410-296-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E TOWSONTOWN BLVD",
            "address_2": "SUITE 2W",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865318",
            "telephone_number": "410-296-2004",
            "fax_number": "410-296-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "CAMILLIA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Andrew White, MA, LAT, ATC
• Emily White, M.D.
• Jennifer M. White, CRNP
• Jordan H.G White
• Zachary White, PA-C, ATC
• Cynthia Whittaker
• Kacie Whitty, PHARMD
• Shawn Costello Whooley, PSY.D.
• Raylon Wicker
• Rachel Frances Wieder, LGPC

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.