Provider Demographics
NPI:1518323971
Name:WASHINGTON, WHITNEY
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 FOREST CT BLDG 18
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-5074
Mailing Address - Country:US
Mailing Address - Phone:540-566-6106
Mailing Address - Fax:
Practice Address - Street 1:707 5TH ST NE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-2123
Practice Address - Country:US
Practice Address - Phone:540-966-5808
Practice Address - Fax:540-595-9456
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical