Individual provider Active NPI

Madison Whitney, LMSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1821970989
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128016 Issued in NY
Practice address
274 N Goodman St Ste A300
Rochester, NY 14607-1171
Phone
(585) 206-2631
Fax
(585) 206-1006
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 128016 NY Primary

Addresses

Primary practice location

274 N Goodman St Ste A300
Rochester, NY 14607-1171

Mailing address

4627 Lakeville Groveland Rd
Geneseo, NY 14454-9737
Phone (585) 353-5277

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
128016NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wide Waters Therapy Services LCSW PLLC Clinical CurrentSince Jan 4, 2026 Accepting new patients

Locations

274 N Goodman St
Ste A300
Rochester, NY 14607
Phone (585) 206-2631

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1821970989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 LAKEVILLE GROVELAND RD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549737",
            "telephone_number": "585-353-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 N GOODMAN ST STE A300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071171",
            "telephone_number": "585-206-2631",
            "fax_number": "585-206-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "MADISON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "128016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.