Adria Chanell Whitlow, MSW, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252395 Issued in KY

Practice address

1990 Louisville Rd Ste 107
Bowling Green, KY 42101-1202

Phone

(270) 495-1222

Fax

(859) 209-6504

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolving Lives LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1477144046
  Medicare reassignment NPD Authorized official
• Lifeskills, Inc.

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1669401816
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1770716532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 LOUISVILLE RD STE 107",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011202",
            "telephone_number": "270-495-1222",
            "fax_number": "859-209-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 LOUISVILLE RD STE 107",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011202",
            "telephone_number": "270-495-1222",
            "fax_number": "859-209-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "ADRIA",
        "middle_name": "CHANELL",
        "credential": "MSW, LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Bruce White Jr., DC
• Shawn White, LPCC
• Sarah L Whitledge, LCSW
• Amy Andrews Whitler, APRN
• Lindsey Kate Whitley, LPCC
• Shelby Whitt, MSW
• Kelly Whittaker, PT, DPT
• Mazie Whobrey, APRN
• Savannah Elizabeth Whyte
• Sarah Widener, RD

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.