Samantha Whiting

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33009296A Issued in IN

Practice address

954 Eastport Centre Dr Ste B
Valparaiso, IN 46383-4456

Phone

(630) 408-7372

NPI assigned

Jun 21, 2017

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elements Therapy and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesterton, IN
  • NPI 1306411004
  NPD Authorized official

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1619497559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ARDMORE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502068",
            "telephone_number": "630-408-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 EASTPORT CENTRE DR STE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834456",
            "telephone_number": "630-408-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009296A",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Westenberger, LCSW
• Michael Lee Wheat, M.D.
• Tim Whetsel, MD
• Haley White
• Meredith White
• Megan Grace Wichlinski, LCSW
• Konrad Wiese, PTA
• Kurt Alan Wiese, M.D.
• Alexander Theodore Wilcox
• Alexis Will

• Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.