Provider Demographics
NPI:1699098277
Name:MCMAHAN, WHITNEY LANE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:LANE
Last Name:MCMAHAN
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 1:1929 STRATFORD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-4251
Mailing Address - Country:US
Mailing Address - Phone:331-425-2847
Mailing Address - Fax:
Practice Address - Street 1:2200 S MAIN ST STE 306
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5366
Practice Address - Country:US
Practice Address - Phone:630-209-4554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490162661041C0700X
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical