Active NPI
Otis Whigham
- Clinical Social Worker
- Lynchburg, VA
National Provider Identifier
1679953467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904008394
- Practice address
- 2215 Langhorne Rd
Lynchburg, VA 24501 - Phone
- (434) 948-4831
- Fax
- (434) 485-8877
- NPI assigned
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904008394 | VA | Primary |
Addresses
Primary practice location
2215 Langhorne Rd
Lynchburg, VA 24501
Mailing address
3311 Old Forest Road Ste. 101
Lynchburg, VA 24501-1312
Phone (434) 363-4815
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904008394 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1679953467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 OLD FOREST ROAD STE. 101",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011312",
"telephone_number": "434-363-4815",
"fax_number": "434-688-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 LANGHORNE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24501",
"telephone_number": "434-948-4831",
"fax_number": "434-485-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIGHAM",
"first_name": "OTIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-05",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904008394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.