Kris A. Whitney, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111237 Issued in MA

Practice address

298 Main St
Apt 22
Wakefield, MA 01880-5037

Phone

(339) 222-3568

NPI assigned

Jul 23, 2013

Last updated

Sep 6, 2018By the provider in NPPES

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1932541653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 MAIN ST",
            "address_2": "APT 22",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805037",
            "telephone_number": "339-222-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MAIN ST",
            "address_2": "APT 22",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805037",
            "telephone_number": "339-222-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "KRIS",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Wheel, R.D.
• Kyle Whitby
• George White, LMHC
• Jeffrey Neil White, LICSW, ACSW
• Kaitlin Elaine White, PSYD, MA, MED
• Marjorie Kai Wickenden, DPT
• Nathan Wilcox, LICSW
• William J. Fiore, DMD, P.C.
• Karen Williams
• Tom Richard Williams

• Clinical Social Worker in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.