Whitney Renee Hollander, LCSW

Individual provider Active NPI Clinical Social Worker · De Soto, MO

NPI 1760016760 · NPPES record last updated Jul 3, 2025

Key facts

NPI
1760016760
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2014041438 (MO)
Practice address
12 Jefferson SQ
De Soto, MO 63020-1031
Phone
(636) 586-6685
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12 Jefferson SQ
De Soto, MO 63020-1031

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260331004382 MO Practitioner - Clinical Social Worker 7618452269 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2014041438MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Franklin Community Action Corp Past
since Mar 1, 2020
Accepting new patients
Steven Crawford Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2014041438 MO Yes

Addresses

Primary practice location

12 Jefferson SQ
De Soto, MO 63020-1031

Mailing address

12 Jefferson SQ
De Soto, MO 63020-1031
Phone (636) 586-6685

Other providers in De Soto, MO

All providers in De Soto, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.