Individual provider Active NPI

Whitney Shevlin, LCSW

  • Clinical Social Worker
  • Centennial, CO
National Provider Identifier
1780853606
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
856 Issued in CO
Practice address
7400 E Arapahoe Rd
Suite 212
Centennial, CO 80112-1279
Phone
(303) 741-1077
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 856 CO Primary

Addresses

Primary practice location

7400 E Arapahoe Rd
Suite 212
Centennial, CO 80112-1279

Mailing address

7400 E Arapahoe Rd
Suite 212
Centennial, CO 80112-1279
Phone (303) 741-1077

Other identifiers 1

IdentifierTypeStateIssuer
856OtherCOLCSW

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210129002155 AZ Practitioner - Clinical Social Worker 7719035120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wake Forest University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4236 N Verrado Way
Buckeye, AZ 85396-7594
Phone (720) 310-5336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
856COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walks With Whitney Clinical CurrentSince Nov 9, 2020 Accepting new patients
Colorado Center for Neurological Rehabilitation Past Accepting new patients
Colorado Center for Neurological Rehabilitation Inc Past Accepting new patients
Inpatient Consultants of Colorado, PC Past Accepting new patients

Locations

4236 N Verrado Way
Buckeye, AZ 85396
Phone (720) 310-5336

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1780853606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E ARAPAHOE RD",
            "address_2": "SUITE 212",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121279",
            "telephone_number": "303-741-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ARAPAHOE RD",
            "address_2": "SUITE 212",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121279",
            "telephone_number": "303-741-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVLIN",
        "first_name": "WHITNEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "856",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.