Provider Demographics
NPI:1063589372
Name:WERNER, WHITNEY ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:ELIZABETH
Last Name:WERNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7524 SILVER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1071
Mailing Address - Country:US
Mailing Address - Phone:919-864-0988
Mailing Address - Fax:919-516-0239
Practice Address - Street 1:7524 SILVER VIEW LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1071
Practice Address - Country:US
Practice Address - Phone:919-864-0988
Practice Address - Fax:919-516-0239
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0030391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002243Medicaid
NC2870184Medicare ID - Type Unspecified