Stephanie Kristin Whiteside, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006555A Issued in IN

Practice address

1700 W Smith Valley Rd Ste C1
Greenwood, IN 46142-1589

Phone

(812) 345-2205

NPI assigned

Sep 12, 2012

Sex

Female

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Counseling Coaching and Consulting LLC

  • Mental Health Counselor
  • Greenwood, IN
  • NPI 1306624523
  NPD Authorized official

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1861742363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 S MORGANTOWN RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439406",
            "telephone_number": "812-345-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W SMITH VALLEY RD STE C1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421589",
            "telephone_number": "812-345-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "STEPHANIE",
        "middle_name": "KRISTIN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006555A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikinna White, PHARMD
• Stefanie Leigh White, MSN, APRN, FNP-BC
• Timara White, RBT
• Jane A Whitecotten, M.A., CCC-SLP
• Michelle Ann Whitehouse
• Gwendolyn Whitis Cox, FNP-C
• Heidi Lisa Whitrock, COTA/L
• Dante Whitton, RBT
• Heather Wiand, MA, BCBA
• Spencer Wichert, DC

• Clinical Social Worker in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.