Individual
JODIE F. WITHERITE
Active
Individual
JODIE F. WITHERITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015755
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230054
ANTHEM BC/BS
—
01
—
2093219
CIGNA
—
01
—
349437000
MAGELLAN
—
Enumeration date
02/21/2006
Last updated
08/27/2008
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