Kathi Whitten, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001415 Issued in VA

Practice address

297 Herndon Pkwy
Ste 201
Herndon, VA 20170-4474

Phone

(703) 742-6043

NPI assigned

Jan 17, 2013

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2013 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northern Virginia Psychotherapy Assoc., Inc.

  • Clinical Social Worker
  • Herndon, VA
  • NPI 1245355197
  NPD (past) Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1508104126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 HERNDON PKWY",
            "address_2": "STE. 201",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704474",
            "telephone_number": "703-742-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 HERNDON PKWY",
            "address_2": "STE 201",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704474",
            "telephone_number": "703-742-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "KATHI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey White, LMT
• Jennifer White, D.P.T.
• Tamra Leigh White, RN
• Erika Whitman, RD, CSSD
• John Whitney
• Ronald Charles Wichin, DC
• Rohini Wijetilleke, M.D
• Courtney Wild
• Fred Clayton Wilkins Jr., MD
• Jio Williams

• Clinical Social Worker in Herndon, VA
• Providers in Herndon, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.