Healthcare Provider Details

I. General information

NPI: 1497662043
Provider Name (Legal Business Name): WHITNEY BALDRIDGE, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W NIFONG BLVD STE 2-210
COLUMBIA MO
65203-5661
US

IV. Provider business mailing address

1000 W NIFONG BLVD STE 2-210
COLUMBIA MO
65203-5661
US

V. Phone/Fax

Practice location:
  • Phone: 573-200-6475
  • Fax:
Mailing address:
  • Phone: 573-200-6475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY BALDRIDGE
Title or Position: OWNER & CLINICAL THERAPIST
Credential: LCSW
Phone: 660-815-3053