Provider Demographics
NPI:1245589423
Name:PHILEMON, WHITNEY ANDRINGA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ANDRINGA
Last Name:PHILEMON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 BROWN PELICAN LN
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-8393
Mailing Address - Country:US
Mailing Address - Phone:336-339-4413
Mailing Address - Fax:
Practice Address - Street 1:2505 S 17TH ST STE 200
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7992
Practice Address - Country:US
Practice Address - Phone:910-254-4545
Practice Address - Fax:910-254-4557
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0079501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical