Organization Active NPI

Amanda Whetstone, LCSW LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1588087589
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-014471 Issued in IL
Legal business name
AMANDA WHETSTONE, LCSW LLC
Practice address
1360 N Lake Shore Dr
#1007
Chicago, IL 60610-2181
Phone
(419) 704-1334
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Whetstone, LCSWNPI 1427492966
Title
Clinical Social Worker
Phone
(419) 704-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149-014471 IL Primary

Addresses

Primary practice location

1360 N Lake Shore Dr
#1007
Chicago, IL 60610-2181

Mailing address

1360 N Lake Shore Dr
#1007
Chicago, IL 60610-2181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1588087589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N LAKE SHORE DR",
            "address_2": "#1007",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N LAKE SHORE DR",
            "address_2": "#1007",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102181",
            "telephone_number": "419-704-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA WHETSTONE, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "WHETSTONE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "419-704-1334",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-014471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.