Joan Whiton, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19003 Issued in MN

Practice address

2649 Park Ave
Minneapolis, MN 55407-1006

Phone

(612) 676-1604

NPI assigned

Jul 11, 2011

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)

Enrolled

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1821386988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 COLFAX AVE S",
            "address_2": "APT. 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084186",
            "telephone_number": "612-203-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071006",
            "telephone_number": "612-676-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITON",
        "first_name": "JOAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Beth Whitley, RN
• Chester B Whitley, MD
• Janelle Ann Whitlock, MS, RN, CNP
• Ahnalieza Marie Whitman, DNP, NNP
• Shannon Paige Whitney
• Eric Allen Whitt
• Marie Whittaker, RN
• Willette D Whitted, CD(DONA)
• Luann Whittenburg
• Kishon M Whittier, PSYD/LP

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.