Stephanie Whited, LCSW LLC
Organization Active NPI Clinical Social Worker · Fairlawn, VA
NPI 1780145433 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1780145433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- STEPHANIE WHITED, LCSW LLC
- Practice address
- 6580 Valley Center Dr
Fairlawn, VA 24141-5691 - Phone
- (540) 577-5676
- NPI assigned
- Mar 26, 2019
- Organization subpart
- No
Authorized official
- Name
- Stephanie Whited, LCSW
- Title
- Provider
- Phone
- (540) 577-5676
Practitioners 3
-
Stephanie Whited, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190513002431 | VA | Part B Supplier - Clinic/Group Practice | 9537402664 |
Receives reassigned benefits from 1 practitioner Practice locations: Christiansburg, VA |
National Provider Directory
Locations
602 Radford St
Christiansburg, VA 24073
Phone (540) 230-8589
6580 Valley Center Dr
Radford, VA 24141
Phone (540) 577-5676
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
6580 Valley Center Dr
Fairlawn, VA 24141-5691
Mailing address
1120 Juniper Dr
Christiansburg, VA 24073-5810
Phone (540) 577-5675
Other providers in Fairlawn, VA
- Juan Polanco
- Polaski County Board of Supervisors
- Benjamin Carroll Poovey
- Lisa Pugh
- Gershon Silber
- Jacob Michael Sunderlage
- Tri-Medical LLC
- Virginia Highland Health PC
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
All providers in Fairlawn, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.