Stacey Salley Whittemore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10840 Issued in LA

Practice address

1125 Paul Maillard Rd
Luling, LA 70070-4351

Phone

(985) 727-4075

Fax

(954) 885-9444

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey L Salley Former name

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1952618241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 N UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330249000",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704351",
            "telephone_number": "985-727-4075",
            "fax_number": "954-885-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEMORE",
        "first_name": "STACEY",
        "middle_name": "SALLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "SALLEY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Walker, STUDENT NP
• Osyria Olimpia Webster-Taylor, D.D.S.
• Jammie Marie Webster
• Krista Davis White, ATC, LAT
• Melissa A White, M.S.,CCC-SLP
• Cherrelle Monique Williams, M.A., LPC, LMFT
• Latrenda Williams
• Megan Wilson
• Kristen Woods
• Latoya Marie Woods

• Clinical Social Worker in Luling, LA
• Providers in Luling, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.