MARY JANE WHITMORE (NPI# 1134175334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134175334 |
| Entity Type | Individual |
| Full Name | MARY JANE WHITMORE |
| Credential | LCSW, CADCIII |
| Practice Address |
840 Lake Ave Suite 101 Racine WI 53403-1566 |
| Practice Telephone | 2626348688 |
| Practice Fax Number | 2626347547 |
| Mailing Telephone | 2626348688 |
| Mailing Fax Number | 2626347547 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1623-132 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7186-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39341100 | 05 |
| Street Address |
840 LAKE AVE SUITE 101 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275586323 | Racine Psychological Services, Inc. | Clinic/Center | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-05-18 |
| 1013166891 | Sammy Joe Rangel | Counselor | 840 Lake Ave, 101, Racine, WI 53403-1566 | 2008-09-16 |
| 1619148970 | Regina Marlene Hadley | Counselor | 840 Lake Ave, 101, Racine, WI 53403-1566 | 2008-03-14 |
| 1225168891 | Jean Marie Pruscha | Counselor | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2007-03-06 |
| 1316021405 | D Martin Hayden | Psychologist | 840 Lake Ave, Racine, Racine, WI 53403-1566 | 2006-10-25 |
| 1558305409 | Mariah Hewitt | Psychologist | 840 Lake Ave, Ste 101, Racine, WI 53403-1566 | 2006-06-15 |
| 1710925151 | Paul Wilhelm Voelkel | Psychologist | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962973479 | Karen Seif | Social Worker | 1818 Wisconsin Ave, Racine, WI 53403-2771 | 2018-12-10 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1538485834 | Marianne T. Jensen | Social Worker | 2310 N Main St, Racine, WI 53402-4450 | 2010-04-12 |
| 1992916910 | Karen Carnabucci | Social Worker | 932 Lake Ave, Lake House Health & Learning Center, Racine, WI 53403-1519 | 2007-05-24 |
| 1740496868 | Linda Marie Angel | Social Worker | 420 Seventh St, Racine, WI 53403-1222 | 2007-05-15 |
| 1962525683 | Thomas Karl Galten | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2007-04-09 |
| 1225191158 | Linda Susan Noer | Social Worker | 2219 Washington Ave, Racine, WI 53405-3551 | 2006-12-19 |
| 1417018664 | Angela Maria Martin | Social Worker | 6021 Durand Avenue, Suite 300, Racine, WI 53406 | 2006-12-12 |
| 1023027414 | Kathleen Fenno Mcnulty | Social Worker | 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 | 2006-08-05 |
| 1457328643 | Elizabeth Hanson Will | Social Worker | 700 Villa Street, Racine, WI 53403 | 2006-03-07 |
| Find all providers in RACINE | ||||
Please comment or provide details below to improve the information on MARY JANE WHITMORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.