Active NPI
Katie Elizabeth Whitehead, LCSW
- Clinical Social Worker
- Sheppard Afb, TX
National Provider Identifier
1548979966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 69152
- Practice address
- 527 Tuskegee Airmen Ave BLDG 500
Sheppard Afb, TX 76311 - Phone
- (940) 676-1847
- NPI assigned
- Nov 15, 2022
- 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 | 69152 | TX | Primary |
Addresses
Primary practice location
527 Tuskegee Airmen Ave BLDG 500
Sheppard Afb, TX 76311
Mailing address
527 Tuskegee Airmen Ave
Sheppard Afb, TX 76311
Phone (940) 676-1694
Other names 1
- Katie Elizabeth Eubank
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Katie.e.whitehead@health.mil | Direct | Department of Defense-Air Force |
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 |
|---|---|---|---|
| 69152 | TX | MD | Clinical Social Worker |
Interoperability endpoints
- katie.e.whitehead@health.mil
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1548979966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 TUSKEGEE AIRMEN AVE",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "76311",
"telephone_number": "940-676-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 TUSKEGEE AIRMEN AVE BLDG 500",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "76311",
"telephone_number": "940-676-1847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2023-09-20",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "69152",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Katie.e.whitehead@health.mil",
"affiliation": "Y",
"endpointDescription": "Katie.e.whitehead@health.mil",
"affiliationName": "Department of Defense-Air Force",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "527 Tuskegee Airmen Ave bldg 500",
"city": "Sheppard AFB",
"state": "TX",
"country_code": "US",
"postal_code": "76311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATIE",
"last_name": "EUBANK",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sheppard Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.