Amada Sukumu Whitson, MSW, ASW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW87190 Issued in CA

Practice address

473 S Carnegie Dr
San Bernardino, CA 92408-4207

Phone

(909) 297-1153

NPI assigned

Oct 18, 2023

Sex

Male

Sole proprietor

No

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1841072352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084207",
            "telephone_number": "909-297-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084207",
            "telephone_number": "909-297-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1424 Orange Ave Apt 21",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923735471",
            "country_code": "US",
            "telephone_number": "323-919-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "AMADA",
        "middle_name": "SUKUMU",
        "credential": "MSW, ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW87190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilda O White
• William Beckwith White, D.D.S.
• Keisha Whitehurst
• Kimberli Patriece Whitman, M.A., MFT
• Whitney Young Family Health Clinic
• Ashlyn Whittaker
• Daron Lamar Whitworth
• Ricardo Whyte, M.D.
• Kaitlin Irene Wiechert
• Wilbur a. Pulido

• Social Worker in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.