Active NPI
Maria Elaina Whalen, LSW
- Social Worker
- Warren, OH
National Provider Identifier
1679168967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0030955
- Practice address
- 103 W Market St
Warren, OH 44481-1017 - Phone
- (330) 394-8831
- NPI assigned
- Mar 8, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0030955 | OH | Primary |
Addresses
Primary practice location
103 W Market St
Warren, OH 44481-1017
Mailing address
103 W Market St
Warren, OH 44481-1017
Phone (330) 394-8831
Other names 1
- Mrs. Maria Elaina Whalen-Grayson
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 |
|---|---|---|---|
| S.0030955 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Professional Services, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1679168967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444811017",
"telephone_number": "330-394-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444811017",
"telephone_number": "330-394-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "MARIA",
"middle_name": "ELAINA",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0030955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "WHALEN-GRAYSON",
"middle_name": "ELAINA",
"prefix": "MRS.",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.