Individual
MARY JANE WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADCIII
Contact information
Practice address
840 LAKE AVE, SUITE 101, RACINE, WI 53403-1566
(262) 634-8688
(262) 634-7547
Mailing address
840 LAKE AVE, SUITE 101, RACINE, WI 53403-1566
(262) 634-8688
(262) 634-7547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1623-132
WI
1041C0700X
Clinical Social Worker
Primary
7186-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39341100
—
WI
Enumeration date
05/26/2006
Last updated
07/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us