Individual provider Active NPI

Daun Marie Whittaker, LCSW DTH CPRP

  • Clinical Social Worker
  • Oswego, NY
National Provider Identifier
1790017531
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
84769 Issued in NY
Practice address
225 W 1St St Lowr Level
Oswego, NY 13126-3061
Phone
(315) 402-6908
NPI assigned
Feb 4, 2010
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 077411 NY
Clinical Social Worker 1041C0700X 84769 NY Primary

Addresses

Primary practice location

225 W 1St St Lowr Level
Oswego, NY 13126-3061

Mailing address

225 W 1St St Lowr Level
Oswego, NY 13126-3061
Phone (315) 402-6908

Other practice location 1

106 W Utica St
Oswego, NY 13126-3059
Phone (315) 402-6908

Other names 1

  • Ms. Daun Marie Kucharski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
077411NYMDSocial Worker
84769NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1790017531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 1ST ST LOWR LEVEL",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263061",
            "telephone_number": "315-402-6908",
            "fax_number": "315-342-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 1ST ST LOWR LEVEL",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263061",
            "telephone_number": "315-402-6908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W Utica St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131263059",
            "country_code": "US",
            "telephone_number": "315-402-6908",
            "fax_number": "315-342-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "DAUN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW DTH CPRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077411",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "84769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAUN",
            "last_name": "KUCHARSKI",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMSW CPRP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.