Organization Active NPI

Virginia D Whittington, LCSW Inc.

  • Adult Mental Health Clinic/Center
  • Bradenton, FL
National Provider Identifier
1720389760
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
SW5658 Issued in FL
Legal business name
VIRGINIA D WHITTINGTON, LCSW INC.
Practice address
2328 Manatee Ave W
Bradenton, FL 34205-4957
Phone
(941) 708-0896
Fax
(941) 747-1696
NPI assigned
Nov 8, 2010
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Mrs. Virginia D Whittington, LCSWNPI 1023019866
Title
Psychotherapist
Phone
(941) 708-0896

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
Adult Mental Health Clinic/Center 261QM0850X SW5658 FL Primary

Addresses

Primary practice location

2328 Manatee Ave W
Bradenton, FL 34205-4957

Mailing address

2328 Manatee Ave W
Bradenton, FL 34205-4957
Phone (941) 708-0896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000285 FL Part B Supplier - Clinic/Group Practice 4486849700 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

2328 Manatee Ave W
Bradenton, FL 34205
Phone (941) 708-0896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1720389760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054957",
            "telephone_number": "941-708-0896",
            "fax_number": "941-747-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054957",
            "telephone_number": "941-708-0896",
            "fax_number": "941-747-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA D WHITTINGTON, LCSW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "WHITTINGTON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "941-708-0896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "SW5658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.