Healthcare Provider Details

I. General information

NPI: 1356997852
Provider Name (Legal Business Name): HANNAH G WHIDDON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18947 JOHN J WILLIAMS HWY UNIT 213
REHOBOTH BEACH DE
19971-4476
US

IV. Provider business mailing address

18947 JOHN J WILLIAMS HWY UNIT 213
REHOBOTH BEACH DE
19971-4476
US

V. Phone/Fax

Practice location:
  • Phone: 302-643-9553
  • Fax:
Mailing address:
  • Phone: 302-943-6553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012462
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: