Kathryn D Whitacre, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12945 Issued in MD

Practice address

81 Baltimore St
Cumberland, MD 21502-3008

Phone

(301) 268-7900

NPI assigned

Aug 7, 2008

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

• Kathryn D Carder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1992951172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 WILLOWBROOK RD",
            "address_2": "3RD FLOOR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022569",
            "telephone_number": "301-723-1443",
            "fax_number": "301-723-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BALTIMORE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023008",
            "telephone_number": "301-268-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Seton Dr",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215021854",
            "country_code": "US",
            "telephone_number": "240-964-8585",
            "fax_number": "301-723-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "KATHRYN",
        "middle_name": "D",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CARDER",
            "middle_name": "D",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Owen Western
• Gabriela Weston, LCSW-C
• Timothy Westrom, RPH
• Cory Wharton, LGSW
• Rodney Thomas Whetstone, CRNA
• McKennah Whitacre
• White Avenue Health Care LLC
• Nancy White, CRNP
• Christopher Todd Whiteman, MPT
• Roy David Russell Whiteman Jr., MBA PT

• Clinical Social Worker in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.