Marie Andersen-Whitehurst

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001172 Issued in NC

Legal business name

MARIE ANDERSEN-WHITEHURST

Practice address

5729 Old Randleman Rd
Greensboro, NC 27406-8808

Phone

(336) 662-8185

Fax

(336) 665-6188

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Marie Andersen-Whitehurst, LCSWNPI 1639112238

Title

Owner

Phone

(336) 662-8185

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Andersen-Whitehurst

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1639112238
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952442741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 OLD RANDLEMAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068808",
            "telephone_number": "336-662-8185",
            "fax_number": "336-665-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 OLD RANDLEMAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068808",
            "telephone_number": "336-662-8185",
            "fax_number": "336-665-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE ANDERSEN-WHITEHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN-WHITEHURST",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-662-8185",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Mardeusz, RD
• Tamara Marshall Marenick, PT
• Margachel Enterprises, LLC
• Keliann Margiotta
• Maria S Johnson OD PLLC
• Maries Angels Personal Care Home,LLC
• Marilyns Safe Haven
• Julie Milstead Marine, RN
• Callie Gordon Marino, LPCA, NCC
• Michelle Marinone, M.D.

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.