NPI Code Detail JSON Logo

1538627807 NPI number — BEVERLY V WHITTAKER-MCDERMOTT LCSW

NPI Number: 1538627807
Health Care Provider/Practitioner: BEVERLY V WHITTAKER-MCDERMOTT LCSW

Information about “1538627807” NPI (BEVERLY V WHITTAKER-MCDERMOTT LCSW) exists in 1538627807 in HTML format HTML  |  1538627807 in plain Text format TXT  |  1538627807 in PDF (Portable Document Format) PDF  |  1538627807 in an XML format XML  formats.

NPI Number : 1538627807 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538627807",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITTAKER-MCDERMOTT",
    "FirstName": "BEVERLY",
    "MiddleName": "V",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCDERMOTT",
    "OtherFirstName": "BEVERLY",
    "OtherMiddleName": "V",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3007 E. BIDDLE STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-423-5375",
    "MailingAddressFaxNumber": "443-423-5500",
    "FirstLinePracticeLocationAddress": "3007 E. BIDDLE STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-423-5375",
    "PracticeLocationAddressFaxNumber": "443-423-5500",
    "EnumerationDate": "03/06/2019",
    "LastUpdateDate": "03/06/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "15090",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.