Carol Lynn Whitaker, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4840 Issued in OR

Practice address

1911 United Way
Medford, OR 97504-4970

Phone

(541) 301-7030

Fax

(541) 301-7030

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1801308176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045579",
            "telephone_number": "541-301-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 UNITED WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044970",
            "telephone_number": "541-301-7030",
            "fax_number": "541-301-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary H. Wheeler, O.D.
• Richard J Wheeler, CRM
• Courtney L Wheelock, FNP-C
• Theresa M Whipple
• Michelle Jo Whipps
• Elizabeth Anne White, P.T.
• Jeffrey Robert White
• Matthew Michael White, PHARMD
• Michael White
• Monica White

• Clinical Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.