Healthcare Provider Details

I. General information

NPI: 1437768488
Provider Name (Legal Business Name): RHONDA MICHELLE WHITTAKER LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 CAROLINE CT
JUNCTION CITY KS
66441-3422
US

IV. Provider business mailing address

215 CAROLINE CT
JUNCTION CITY KS
66441-3422
US

V. Phone/Fax

Practice location:
  • Phone: 785-492-0607
  • Fax: 785-579-5757
Mailing address:
  • Phone: 785-492-0607
  • Fax: 785-579-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07232
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: