Amy Kathryn Whitley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

181919 Issued in AK

Practice address

11901 Business Blvd Ste 203
Eagle River, AK 99577-7701

Phone

(907) 202-7166

Fax

(855) 936-3236

NPI assigned

Nov 30, 2021

Last updated

Mar 3, 2024By 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 1

Addresses

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

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

• Chugach Counseling & Consulting

  • Professional Counselor
  • Eagle River, AK
  • NPI 1093342610
  NPD
• Alaska Imaging Associates, LLC

  dba Northern Lights Imaging

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1063466688
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1669130316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 SECLUSION BAY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152447",
            "telephone_number": "321-652-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 BUSINESS BLVD STE 203",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777701",
            "telephone_number": "907-202-7166",
            "fax_number": "855-936-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "181919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sjofn Cathleen Weisner, PHD
• Danielle Wellik, M.S., CCC-SLP
• Jacqueline Homm Wells, DMD
• Katrina White, L.AC.
• Rachel Lynn White, PHD, BCBA-D, LBA
• Zan Michael Whitman, ARNP
• Wholistic Counseling
• Brooklyn Racquel Sharon Wicks
• Angela Wilbanks, PMHNP-BC
• Misty Wilcox

• Clinical Social Worker in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; 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.