Individual
WHITNEY MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
Mailing address
6211 HARVEST DR, PAPILLION, NE 68157-2361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14795
NE
1041C0700X
Clinical Social Worker
Primary
14795
NE
Other
Enumeration date
04/17/2026
Last updated
05/04/2026
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