Active NPI
George Carpenter Whiteley IV, LLMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1740139633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801121633
- Practice address
- 2610 W Liberty St
Ann Arbor, MI 48103-6560 - Phone
- (917) 496-9493
- NPI assigned
- Jan 24, 2026
- 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 | 6801121633 | MI | Primary |
Addresses
Primary practice location
2610 W Liberty St
Ann Arbor, MI 48103-6560
Mailing address
1210 Miller Ave
Ann Arbor, MI 48103-3755
Other practice location 1
1210 Miller Ave
Ann Arbor, MI 48103-3755
Phone (917) 496-9493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 5, 2026 through May 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801121633 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1740139633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 MILLER AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 W LIBERTY ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036560",
"telephone_number": "917-496-9493"
}
],
"practiceLocations": [
{
"address_1": "1210 Miller Ave",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481033755",
"country_code": "US",
"telephone_number": "917-496-9493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITELEY",
"first_name": "GEORGE",
"middle_name": "CARPENTER",
"name_suffix": "IV",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-24",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801121633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.