Jessica K Whittemore, LCSW-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15036 Issued in MD

Practice address

1800 N Charles St
Suite 208
Baltimore, MD 21201-5920

Phone

(410) 234-2727

Fax

(410) 234-2777

NPI assigned

Aug 7, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483
  NPD
• Amedisys Maryland LLC

  • Home Health Agency
  • Frederick, MD
  • NPI 1336705854
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1568894012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST",
            "address_2": "SUITE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "410-234-2727",
            "fax_number": "410-234-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST",
            "address_2": "SUITE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "410-234-2727",
            "fax_number": "410-234-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEMORE",
        "first_name": "JESSICA",
        "middle_name": "K",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "15036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-C",
            "identifier": "15036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly V Whittaker-McDermott, LCSW
• Brittany Whittaker
• Haily Whittaker
• Joseph Whittaker, PA-C
• Paul Michael Whittaker, M.P.T.
• Anthonia Whitten
• Thomas V Whitten, MD
• William Durwood Whitten, PHD
• Chakyra Whittington
• Melissa Whittington

• Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.