Roma Nichol Whitaker, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW009742 Issued in GA

Practice address

4402 Brandon CT NE
Marietta, GA 30066-2052

Phone

(404) 956-8175

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 2021By the provider in NPPES

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

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1962161356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 BRANDON CT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662052",
            "telephone_number": "404-956-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 BRANDON CT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662052",
            "telephone_number": "404-956-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ROMA",
        "middle_name": "NICHOL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW009742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catelyn Conway Wheeler, FNP-C
• Jenesha Wheeler, RBT
• Silas Wheeler
• Debra Lynn Tolley Whelan, R.N. M.S.N.C.N.M.
• Lorita B Whitaker, LCSW
• David Scott Whitcomb, MD
• Otis A Whitcomb
• Abbie Chapman White
• Blaise Marcus White, PA-A
• Horace Roger White, M.D.

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.