Active NPI
Kerry Whetsell
- Social Worker
- Charleston, SC
National Provider Identifier
1972909653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6053
- Practice address
- 3 Charleston Center Dr
Charleston, SC 29401-1162 - Phone
- (843) 579-4534
- Fax
- (843) 579-4622
- NPI assigned
- Nov 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6053 | SC | Primary |
| Clinical Social Worker | 1041C0700X | 6053 | SC |
Addresses
Primary practice location
3 Charleston Center Dr
Charleston, SC 29401-1162
Mailing address
3 Charleston Center Dr
Charleston, SC 29401-1162
Phone (843) 579-4534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6053 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1972909653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CHARLESTON CENTER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011162",
"telephone_number": "843-579-4534",
"fax_number": "843-579-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CHARLESTON CENTER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011162",
"telephone_number": "843-579-4534",
"fax_number": "843-579-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHETSELL",
"first_name": "KERRY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "6053",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "6053",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.