Whitley Trauma Recovery & Counseling PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

WHITLEY TRAUMA RECOVERY & COUNSELING PLLC

Practice address

116 Hendrix Dr
Kernersville, NC 27284-3016

Phone

(336) 310-4763

Fax

(336) 310-4308

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vickie Pearman Whitley, LCSWNPI 1770963639

Title

Owner/Mental Health Therapist

Phone

(336) 310-4763

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vickie Whitley, LCSWA

  • Clinical Social Worker
  • Kernersville, NC
  • NPI 1770963639
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1841072899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HENDRIX DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843016",
            "telephone_number": "336-972-2156",
            "fax_number": "336-310-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HENDRIX DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843016",
            "telephone_number": "336-310-4763",
            "fax_number": "336-310-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITLEY TRAUMA RECOVERY & COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "PEARMAN",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "336-310-4763",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Wei
• Well Care Home Health of Forsyth, Inc.
• Sheila Wenzel, PTA
• Jennifer Westbrook
• Jennifer Weyant, LCMHCA
• Vickie Whitley, LCSWA
• Castevdral Whitsett
• Ruth Heather Whyte, OTR/L
• Charmaine Wiggins
• Sarah Amanda Marie Wilcox

• Social Worker in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.