Organization Active NPI

Stephanie Whited, LCSW LLC

  • Clinical Social Worker
  • Fairlawn, VA
National Provider Identifier
1780145433
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 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
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Stephanie Whited, LCSWNPI 1215478607
Title
Provider
Phone
(540) 577-5676

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190513002431 VA Part B Supplier - Clinic/Group Practice 9537402664 Receives reassigned benefits from 1 practitioner
Practice locations: Christiansburg, VA

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1780145433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 JUNIPER DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240735810",
            "telephone_number": "540-577-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 VALLEY CENTER DR",
            "city": "FAIRLAWN",
            "state": "VA",
            "postal_code": "241415691",
            "telephone_number": "540-577-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE WHITED, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "WHITED",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "540-577-5676",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.