Antonette Julene Whyte-Etere, LCSW-R, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R053423 Issued in NY

Practice address

430 Spur Dr N
Bay Shore, NY 11706-3432

Phone

(631) 665-9291

NPI assigned

Jun 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1891923132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SPUR DR N",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063432",
            "telephone_number": "631-665-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SPUR DR N",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063432",
            "telephone_number": "631-665-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE-ETERE",
        "first_name": "ANTONETTE",
        "middle_name": "JULENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "10901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Suffolk Gastroenterology Assoc LLP
• Cara Wetcher, MD
• Rory Whalley, PT,DPT
• Jamie Wheeler, M.S.E.D.
• Amanda Whittaker
• Allison Wickers, MA, CCC-SLP
• William Thomas Wiedemann, DO
• William Robert Wiegman, DPM
• Howard R Wigdor
• William Onyebeke MD PC

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.