MEDICARE: DR. KIMBERLY ANN WHITMAN PHD, LCSW, LSCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2020028588	MO

General Provider Information

NPI Number	:	1427492065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY ANN WHITMAN PHD, LCSW, LSCSW

Provider Business Mailing Address
First Line	:	10328 N SALINE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-1873
Country	:	US
Telephone Number	:
Fax Number	:	888-388-1976

Provider Business Practice Location Address
First Line	:	7509 NW TIFFANY SPRINGS PKWY STE 102
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64153-1387
Country	:	US
Telephone Number	:	816-866-7984
Fax Number	:	888-388-1976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	08/26/2025

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