MEDICARE: MS. VIRGINIA M WHITNEY LMSW

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	075594	NY

General Provider Information

NPI Number	:	1932382090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIRGINIA M WHITNEY LMSW

Provider Business Mailing Address
First Line	:	49 CHARLOTTE ST
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 CHARLOTTE ST
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1815
Country	:	US
Telephone Number	:	585-880-1031
Fax Number	:

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

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	06/21/2026

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