Provider Demographics
NPI:1548159973
Name:WHITAKER, PAIGE LILLIAN
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:LILLIAN
Last Name:WHITAKER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8528 VIOLA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-4333
Mailing Address - Country:US
Mailing Address - Phone:336-816-1127
Mailing Address - Fax:
Practice Address - Street 1:8528 VIOLA DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-4333
Practice Address - Country:US
Practice Address - Phone:336-816-1127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker